Physician Compare National (NPI:1538265897)

HEALTHCARE PROVIDER: RICHARD LEAHY DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1538265897
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	8325164494
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100927000141
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LEAHY
	Individual professional last name
Provider First Name	RICHARD
	Individual professional first name
Provider Middle Name	DOUGLAS
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ELIZABETH FAMILY HEALTH PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4587555156
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	34061 FOREST PARK DR
	Group Practice or individual's line 1 address
City	ELIZABETH
	Group Practice or individual's city
State	CO
	Group Practice or individual's state
Zip Code	801077842
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3036464071
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	060114
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	PARKER ADVENTIST HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y