MEDICARE: LEO Y CHOUGH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	8971254	ID
2	207X00000X	Orthopaedic Surgery Physician	MD00036954	WA
3	207X00000X	Orthopaedic Surgery Physician	43285	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053397901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEO Y CHOUGH MD

Provider Business Mailing Address
First Line	:	PO BOX 8007
Second Line	:
City	:	MOSCOW
State	:	ID
Zip	:	83843-0507
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 W A ST
Second Line	:
City	:	MOSCOW
State	:	ID
Zip	:	83843-4038
Country	:	US
Telephone Number	:	208-883-1135
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	09/10/2025

Similar Medicare Providers

1164427423 — DR. CHRISTINA LEIGH CERVIERI MD
Practice Location Address:

2301 W A ST
MOSCOW, ID
83843-4038

Practice Phone: 208-883-1135
Practice Fax: 208-892-0174

1750386256 — PALOUSE SURGERY CENTER, LLC
Practice Location Address:

2300 W A ST
MOSCOW, ID
83843-4038

Practice Phone: 208-883-1500
Practice Fax: 208-882-7701

1265425714 — ROBERT L ELLISON CRNA
Practice Location Address:

2300 W A ST
MOSCOW, ID
83843-4038

Practice Phone: 208-883-1500
Practice Fax: 208-882-7701

1255324653 — INLAND ANESTHESIA
Practice Location Address:

2300 W A ST
MOSCOW, ID
83843-4038

Practice Phone: 208-882-7530
Practice Fax:

1861486565 — ROBERT K SMITH CRNA
Practice Location Address:

2300 W A ST
MOSCOW, ID
83843-4038

Practice Phone: 208-883-1500
Practice Fax: 208-882-7701

1992878946 — JASON S PHILLIPS PA-C
Practice Location Address:

2301 W A ST
MOSCOW, ID
83843-4038

Practice Phone: 208-883-1135
Practice Fax: 208-892-0174

Directions to “ LEO Y CHOUGH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.