Ilya M Leyngold in Meridian - Ophthalmic Plastic And Reconstructive Surgery
Ilya M Leyngold - NPI 1407996176
Ilya M Leyngold is a Ophthalmic Plastic And Reconstructive Surgery in Meridian, Idaho. Ilya M Leyngold practices all healthcare services and medical treatments related to Ophthalmic Plastic And Reconstructive Surgery. The NPI Number for Ilya M Leyngold is 1407996176. The last update date is 2022-11-10.
Ilya M Leyngold's current location address is 3015 E Goldstone Dr # 130, Meridian, Idaho. You can contact this provider via phone number 2089004673 and fax number 2082665033. The mailing address for Ilya M Leyngold is 3015 E Goldstone Dr # 130, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ilya M Leyngold |
|---|---|
| Address | 3015 E Goldstone Dr # 130, Meridian, Idaho |
| Phone Number | 2089004673 |
| Fax Number | 2082665033 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1407996176 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2022-11-10 |
Provider Mailing Address Detail
| Address | 3015 E Goldstone Dr # 130 |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836421549 |
| Phone Number | 2089004673 |
| Fax Number | 2082665033 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmic Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 207Wx0200X |
| Licence No | ME112787 |
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Definition: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and la |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14L01 | FL | BLUE CROSS BLUE SHIELD | |
| 5984000 | FL | -- | |
| 20024216 | ID | MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Ilya M Leyngold?
The Ilya M Leyngold has been issued the NPI (National Provider Identifier) 1407996176 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Ilya M Leyngold is located?
The Ilya M Leyngold is situated at the following address: 3015 E Goldstone Dr # 130, Meridian, ID, 836421549.
What is Ilya M Leyngold's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ilya M Leyngold is Ophthalmic Plastic And Reconstructive Surgery, and the taxonomy code that categorizes this field of expertise is 207Wx0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407996176 to Ilya M Leyngold?
The Centers for Medicare & Medicaid Services originally issued the 1407996176 to Ilya M Leyngold on 2007-02-08.
As of what date was the information regarding Ilya M Leyngold, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ilya M Leyngold, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-11-10.