Michael Lesac, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15313 Issued in AZ

Practice address

1601 W Jefferson St
Phoenix, AZ 85007-3002

Phone

(520) 868-4011

NPI assigned

Aug 21, 2009

Last updated

Aug 21, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arizona Department of Corrections

  • Legal Medicine
  • Phoenix, AZ
  • NPI 1336339258
  NPD (past)

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1871725952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8302 E VALLEY VIEW RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506629",
            "telephone_number": "520-262-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W JEFFERSON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850073002",
            "telephone_number": "520-868-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESAC",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "15313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista N Lerner, DDS
• Amanda Sarah Lernor, D.P.M.
• Charlotte Leroux, BPHARM, PHD
• David Ralph Lersch, MD
• Carmen Lervold, NP
• Kelli Lynn Lesage-Bank, PNP
• Katrina Ann Lescarbeau, LMSW
• Nicole Marie Leschak, RDN
• Stephen J. Leshin, M.D.
• Joan Emont Leshner, MSW LCSW

• General Practice Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.