Edward W Leahey MD Professional Association

Primary specialty

SpecialistTaxonomy code 174400000X

License

E9763 Issued in TX

Legal business name

EDWARD W LEAHEY MD PROFESSIONAL ASSOCIATION

Doing business as

ED LEAHEY MD PA

Practice address

4201 Garth Rd Ste 100
Baytown, TX 77521-3154

Phone

(281) 422-3113

Fax

(281) 427-6289

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Sandra Abby Leahey

Title

Office Administrator

Phone

(832) 385-1631

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• ED LEAHEY MD PA Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CICDAA

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward William Leahey, MD

  • Cardiovascular Disease Physician
  • Baytown, TX
  • NPI 1770584690
  Medicare reassignment NPD
• Nathalie Guidry Guajardo, PA-C

  • Physician Assistant
  • Harlingen, TX
  • NPI 1346656303
  Medicare reassignment
• Meagan Kathleen McDowell, PA

  • Physician Assistant
  • Houston, TX
  • NPI 1326481094
  Medicare reassignment
• Ashlie Tra Mi Nguyen

  • Physician Assistant
  • Kingwood, TX
  • NPI 1699374215
  Medicare reassignment

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1871716746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 GARTH RD STE 100",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213154",
            "telephone_number": "281-422-3113",
            "fax_number": "281-427-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 GARTH RD STE 100",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213154",
            "telephone_number": "281-422-3113",
            "fax_number": "281-427-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD W LEAHEY MD PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "LEAHEY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ABBY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "832-385-1631"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E9763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180530102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DF1985",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0095PV",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "009337",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ED LEAHEY MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John B Dyer, PHARM. D, RPH
• Eagle Ambulance LLC
• East Houston Cardiovascular Associates PA
• Deja Renee Edmond, SLP
• Educare Community Living Corporation Texas
• Uchenna Egbosimba, DNP, AGACNP-BC
• Eichelberger Medical Practice, P.a.
• El-Shadai Home Healthcare Services
• Ruby Mo Elashmoney, LPT
• Ramone Sean Eldemire, M.D.

• Specialist in Baytown, TX
• Providers in Baytown, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.