Jason E Leedy
Plastic and Reconstructive Surgery
2060 Lander Rd
Mayfield Heights
, Ohio 44124-4100
Jason E Leedy
Plastic and Reconstructive Surgery
2060 Lander Rd
Mayfield Heights
, Ohio 44124-4100
(440) 461-1440
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Jason E Leedy
- 2060 Lander Rd
- Mayfield Heights, OH
- Zip : 44124-4100
- Fax : (440) 461-1440
- Phone : (440) 461-6100
Second Address
- Jason E Leedy
- 2060 Lander Rd
- Mayfield Heights, OH
- Zip : 44124-4100
- Fax : (440) 461-1440
- Phone : (440) 461-6100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 35085266 | OH |
National Provider Identifier
| NPI | 1154416857 |
|---|---|
| Provider Name | Jason E Leedy |
| First Address | Mayfield Heights, OH 44124-4100 |
| Second Address | Mayfield Heights, OH 44124-4100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2006 |
| Last Update Date | 11/02/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000376503 | ANTHEM BLUE SHIELD (01) | OH |
| 2598916 | (05) | OH |
| I38644 | (02) | |
| R85266 | SUMMACARE (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.