Organization Active NPI

Leedhanachoke & Cassady, P.S.C.

  • Surgery Physician
  • Pikeville, KY
National Provider Identifier
1790901569
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20275 Issued in KY
Legal business name
LEEDHANACHOKE & CASSADY, P.S.C.
Practice address
387 Town Mountain Rd Ste 207
Pikeville, KY 41501-1642
Phone
(606) 437-6698
Fax
(606) 432-5502
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Oon Leedhanachoke, M.D.NPI 1578520482
Title
President
Phone
(606) 437-6698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 20275 KY Primary

Addresses

Primary practice location

387 Town Mountain Rd Ste 207
Pikeville, KY 41501-1642

Mailing address

PO Box 3369
Pikeville, KY 41502-3369
Phone (606) 437-6698

Other identifiers 1

IdentifierTypeStateIssuer
64274814MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790901569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3369",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415023369",
            "telephone_number": "606-437-6698",
            "fax_number": "606-432-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 TOWN MOUNTAIN RD STE 207",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011642",
            "telephone_number": "606-437-6698",
            "fax_number": "606-432-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEDHANACHOKE & CASSADY, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEEDHANACHOKE",
        "authorized_official_first_name": "OON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-437-6698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "KY",
            "license": "20275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64274814",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.