Samuel Gordon Leftenant, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD00040821 Issued in WA

Practice address

14701 179TH Ave SE
Monroe, WA 98272-1108

Phone

(425) 353-3788

Fax

(425) 353-8041

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monroe Anesthesia Physicians, PLLC

  • Anesthesiology Physician
  • Monroe, WA
  • NPI 1972770352
  NPD (past)
• Physicians Anesthesia of Monroe, PLLC

  • Anesthesiology Physician
  • Monroe, WA
  • NPI 1023062205
  NPD (past)
• Sheridan Healthcare of Washington, PC

  • Anesthesiology Physician
  • Olympia, WA
  • NPI 1386883775
  NPD (past)
• Tahoma Anesthesiology Consultants PS

  • Anesthesiology Physician
  • Olympia, WA
  • NPI 1699723023
  NPD (past)
• Cep America - Anesthesia PC

  • Anesthesiology Physician
  • Fremont, CA
  • NPI 1982009759
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1801979794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94061",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981249461",
            "telephone_number": "425-353-3788",
            "fax_number": "425-353-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 179TH AVE SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721108",
            "telephone_number": "425-353-3788",
            "fax_number": "425-353-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFTENANT",
        "first_name": "SAMUEL",
        "middle_name": "GORDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G51699",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00040821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "173197",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "813564",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna K Lee, PHARM.D.
• Lillian Lee
• Sei-Jung Lee, PHARM.D.
• Susan Lee, DDS
• Vanessa Lee, LMP
• Jennifer Lenhart-Falcon, LMT
• Nancy Wagner Leonardson, M.A. AND L.M.H.C..
• Monzell L Lewis, CDP
• Scott R Lewis
• Shelby Lidstrom

• Anesthesiology Physician in Monroe, WA
• Providers in Monroe, WA by specialty
• Anesthesiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.