Healthcare Provider Details

I. General information

NPI: 1952324725
Provider Name (Legal Business Name): JAMES H LEGGETT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 01/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1135 116TH AVE NE SUITE 600
BELLEVUE WA
98004-4623
US

IV. Provider business mailing address

1035 116TH AVE NE
BELLEVUE WA
98004-4604
US

V. Phone/Fax

Practice location:
  • Phone: 425-454-2656
  • Fax: 425-455-2620
Mailing address:
  • Phone: 425-688-5670
  • Fax: 425-453-5139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD00021306
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberMD00021306
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: