Active NPI
Ley Institute of Plastic & Hand Surgery, LLC
- Medical Specialty Clinic/Center
- Tucson, AZ
National Provider Identifier
1932454881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 36876
- Legal business name
- LEY INSTITUTE OF PLASTIC & HAND SURGERY, LLC
- Practice address
- 1517 N Wilmot Rd
177
Tucson, AZ 85712-4410 - Phone
- (520) 396-3566
- Fax
- (801) 396-3548
- NPI assigned
- Jul 17, 2012
- 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. Eleazar Ley Tai, M.D.
- Title
- Owner/Manager
- Phone
- (801) 651-8782
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 36876 | AZ | Primary |
Addresses
Primary practice location
1517 N Wilmot Rd
177
Tucson, AZ 85712-4410
Mailing address
5225 E Knight Dr
Suite 201
Tucson, AZ 85712-2156
Phone (520) 396-3566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 701121 | Other | AZ | AHCCCS |
Other names 1
- Arizona Craniofacial & Pediatric Plastic Surgery
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Scottsdale, AZ
- NPI 1649304627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342483200000",
"number": "1932454881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 E KNIGHT DR",
"address_2": "SUITE 201",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122156",
"telephone_number": "520-396-3566",
"fax_number": "801-396-3548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 N WILMOT RD",
"address_2": "177",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857124410",
"telephone_number": "520-396-3566",
"fax_number": "801-396-3548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEY INSTITUTE OF PLASTIC & HAND SURGERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-17",
"last_updated": "2012-07-17",
"status": "A",
"authorized_official_last_name": "LEY TAI",
"authorized_official_first_name": "ELEAZAR",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "801-651-8782",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "AZ",
"license": "36876",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "701121",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Arizona Craniofacial & Pediatric Plastic Surgery",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.