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NPI Code Detail

MEDICARE: LEIGH A GAINES M.D.

MEDICARE: LEIGH A GAINES M.D.
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
12084P0800XPsychiatry Physician35076854OH
22084P0800XPsychiatry Physician37401KY
3207Q00000XFamily Medicine Physician37401KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080189334OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396782454
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEIGH A GAINES M.D.
Provider Business Mailing Address
First Line : 3200 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2213
Country : US
Telephone Number : 513-861-3100
Fax Number :
Provider Business Practice Location Address
First Line : 909 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1105
Country : US
Telephone Number : 513-861-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 07/22/2021

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Directions to “ LEIGH A GAINES M.D.” Practice Location

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