Active NPI
Leedhanachoke & Cassady, P.S.C.
- Surgery Physician
- Pikeville, KY
National Provider Identifier
1790901569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20275
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Oon Leedhanachoke, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64274814 | Medicaid | KY |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Surgery Physician
- Pikeville, KY
- NPI 1578520482
-
- Surgery Physician
- Pikeville, KY
- NPI 1477624716
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.