Active NPI
Daniel a Leedy, MD, PC
- Otolaryngology Physician
- Oregon City, OR
National Provider Identifier
1952586877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD17211
- Legal business name
- DANIEL A LEEDY, MD, PC
- Practice address
- 1508 Division St
Suite 115
Oregon City, OR 97045-1582 - Phone
- (503) 656-0601
- Fax
- (503) 656-1389
- NPI assigned
- Jan 9, 2008
- Organization subpart
- Yes
- Parent organization
- DANIEL A LEEDY, MD, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel A Leedy, MD
- Title
- Associate
- Phone
- (503) 656-0601
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD17211 | OR | Primary |
Addresses
Primary practice location
1508 Division St
Suite 115
Oregon City, OR 97045-1582
Mailing address
1508 Division St
Suite 115
Oregon City, OR 97045-1582
Phone (503) 656-0601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084509 | Medicaid | OR |
National Provider Directory
National Provider Directory- Part of
- Daniel a Leedy MD PC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Otolaryngology Physician
- Oregon City, OR
- NPI 1407928112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199836800000",
"number": "1952586877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 DIVISION ST",
"address_2": "SUITE 115",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970451582",
"telephone_number": "503-656-0601",
"fax_number": "503-656-1389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 DIVISION ST",
"address_2": "SUITE 115",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970451582",
"telephone_number": "503-656-0601",
"fax_number": "503-656-1389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL A LEEDY, MD, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DANIEL A LEEDY, MD, PC",
"enumeration_date": "2008-01-09",
"last_updated": "2008-01-09",
"status": "A",
"authorized_official_last_name": "LEEDY",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ASSOCIATE",
"authorized_official_telephone_number": "503-656-0601",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "OR",
"license": "MD17211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084509",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oregon City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.