Jerald W Leisy is a Psychiatry in Wichita, Kansas. Jerald W Leisy practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Jerald W Leisy is 1275605586. The last update date is 2012-04-04.
Jerald W Leisy's current location address is 3310 East Douglas Ave # 101, Wichita, Kansas. You can contact this provider via phone number 3166812937 and fax number 3166811262. The mailing address for Jerald W Leisy is 3310 East Douglas Ave # 101, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerald W Leisy |
|---|---|
| Address | 3310 East Douglas Ave # 101, Wichita, Kansas |
| Phone Number | 3166812937 |
| Fax Number | 3166811262 |
| Sole Proprietor | N |
| Credentials | M.D. P.A. |
NPI Number Detail
| NPI Number | 1275605586 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2012-04-04 |
Provider Mailing Address Detail
| Address | 3310 East Douglas Ave # 101 |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 67208 |
| Phone Number | 3166812937 |
| Fax Number | 3166811262 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 14574 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100164140A | KS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jerald W Leisy by the Centers for Medicare & Medicaid Services?
The Jerald W Leisy has been assigned the NPI (National Provider Identifier) 1275605586 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jerald W Leisy is located?
The Jerald W Leisy is situated at the following address: 3310 East Douglas Ave # 101, Wichita, KS, 67208.
What is Jerald W Leisy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerald W Leisy's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date was the 1275605586 assigned to Jerald W Leisy?
The Jerald W Leisy was issued its 1275605586 on 2006-11-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jerald W Leisy most recently updated or revised?
The details related to Jerald W Leisy, including its address, specialty, and other relevant information, were last updated or revised on 2012-04-04.
NPI Number: 1518960137
Address: 161 Sherman Dr, St Johnsbury, VT