MEDICARE: JOSHUA L LEAHY PA C

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	207P00000X	Emergency Medicine Physician	3076	AZ
2	363A00000X	Physician Assistant

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

General Provider Information

NPI Number	:	1689682601
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA L LEAHY PA C

Provider Business Mailing Address
First Line	:	PO BOX 808
Second Line	:
City	:	WINFIELD
State	:	WV
Zip	:	25213-0808
Country	:	US
Telephone Number	:	304-586-0771
Fax Number	:	304-586-0799

Provider Business Practice Location Address
First Line	:	5656 S POWER RD
Second Line	:	GILBERT HOSPITAL
City	:	HIGLEY
State	:	AZ
Zip	:	85236-5421
Country	:	US
Telephone Number	:	480-984-2000
Fax Number	:	480-279-5836

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	08/18/2025

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