Active NPI
Alan C Leshnower, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Odessa, TX
National Provider Identifier
1801908942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- G0756
- Practice address
- 1220 W University Blvd
Odessa, TX 79764-7118 - Phone
- (432) 332-6600
- Fax
- (866) 730-6998
- NPI assigned
- Aug 31, 2006
- Last updated
- Apr 22, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | G0756 | TX | Primary |
Addresses
Primary practice location
1220 W University Blvd
Odessa, TX 79764-7118
Mailing address
5 Santa Fe PL
Odessa, TX 79765-8520
Phone (432) 563-5373
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G0756 | Other | TX | MEDICAL LICENSE |
| 131224108 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G0756 | TX | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Odessa, TX
- NPI 1033447065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398124800000",
"number": "1801908942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 SANTA FE PL",
"city": "ODESSA",
"state": "TX",
"postal_code": "797658520",
"telephone_number": "432-563-5373",
"fax_number": "866-730-6998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 W UNIVERSITY BLVD",
"city": "ODESSA",
"state": "TX",
"postal_code": "797647118",
"telephone_number": "432-332-6600",
"fax_number": "866-730-6998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESHNOWER",
"first_name": "ALAN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2014-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TX",
"license": "G0756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G0756",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131224108",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.