DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ILYA M LEYNGOLD MD

MEDICARE: ILYA M LEYNGOLD 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
1207WX0200XOphthalmic Plastic and Reconstructive Surgery PhysicianM-15568ID

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
320024216OTHERIDMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
114L01OTHERFLBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407996176
Entity Type Code : Individual
Provider Name (Legal Business Name) : ILYA M LEYNGOLD MD
Provider Business Mailing Address
First Line : 3015 E GOLDSTONE DR STE 130
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-1224
Country : US
Telephone Number : 208-900-4673
Fax Number : 208-266-5033
Provider Business Practice Location Address
First Line : 3015 E GOLDSTONE DR # 130
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-1549
Country : US
Telephone Number : 208-900-4673
Fax Number : 208-266-5033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 04/08/2026

Similar Medicare Providers

1740122647 — MINDFUL HEALING PSYCHIATRY OF IDAHO
Practice Location Address:
3006 E GOLDSTONE DR
MERIDIAN, ID
83642-1549
Practice Phone: 208-614-4611
Practice Fax:
1033209796 — MRS. JENNIE PATRICIA HAZEN L.C.P.C.
Practice Location Address:
3006 E GOLDSTONE DR
MERIDIAN, ID
83642-1549
Practice Phone: 208-515-7661
Practice Fax: 208-908-6164
1093839003 — DR. MARK MICHAEL LEYNGOLD MD
Practice Location Address:
3015 E GOLDSTONE DR # 130
MERIDIAN, ID
83642-1549
Practice Phone: 208-900-4673
Practice Fax: 208-266-5033
1871074161 — REBECCA MARQUEZ LCPC
Practice Location Address:
3006 E GOLDSTONE DR
MERIDIAN, ID
83642-1549
Practice Phone: 208-250-7591
Practice Fax:
1881157766 — MEGHAN J BREWER LCPC
Practice Location Address:
3006 E GOLDSTONE DR
MERIDIAN, ID
83642-1549
Practice Phone: 208-957-1964
Practice Fax:
1972124154 — ALEXANDER BRENT DUNCAN
Practice Location Address:
3006 E GOLDSTONE DR
MERIDIAN, ID
83642-1549
Practice Phone: 208-515-7661
Practice Fax:

Directions to “ ILYA M LEYNGOLD 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.