Organization Active NPI

Ley Institute of Plastic & Hand Surgery, LLC

  • Medical Specialty Clinic/Center
  • Tucson, AZ
National Provider Identifier
1932454881
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
36876 Issued in AZ
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

Updated by the provider on Jul 17, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
701121OtherAZAHCCCS

Other names 1

  • Arizona Craniofacial & Pediatric Plastic Surgery Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.