Healthcare Provider Details

I. General information

NPI: 1124415922
Provider Name (Legal Business Name): LEAH WINER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2015
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 ROSE ST WHITNEY HENDRICKSON BLDG STE 134
LEXINGTON KY
40536-0558
US

IV. Provider business mailing address

UNIVERSITY OF CINCINNATI MED CENTER DEPT OF 231 ALBERT SABIN WAY ML 0558
CINCINNATI OH
45267-0558
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-6346
  • Fax: 859-323-6840
Mailing address:
  • Phone: 513-558-4206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number59443
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: