MR. RAYMOND B LEIDICH (NPI# 1841262938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841262938 |
| Entity Type | Individual |
| Full Name | MR. RAYMOND B LEIDICH |
| Credential | MD |
| Practice Address |
2134 N Kansas Ave Liberal KS 67901-2012 |
| Practice Telephone | 6206241500 |
| Practice Fax Number | 6206241501 |
| Mailing Telephone | 2093399036 |
| Mailing Fax Number | 2093391901 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2016-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 04-30944 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200335440A | 05 | |
| OK | 100024200A | 05 |
| Street Address |
2134 N KANSAS AVE |
| City | LIBERAL |
| State | KS |
| Zip Code | 67901-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264803 | Juanita Elise Monroe | Registered Nurse | 515 4th St, Liberal, KS 67901 | 2013-06-05 |
| 1588917454 | Liberal Diagnostics, LLC | Clinic/Center | 23 Professional Drive, Liberal, KS 67901 | 2012-10-17 |
| 1598091001 | Sunflower Pediatrics | Pediatrics | 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 | 2009-10-19 |
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| 1336375104 | Nchang Mantoh Azefor | Surgery | 305 W 15th St Ste 204, Liberal, KS 67901 | 2009-06-06 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1871613067 | William (bill) Joseph Michael Settle | Anesthesiology | 2132 N Kansas Avenue, Suite C, Liberal, KS 67901 | 2007-03-30 |
| 1851430532 | Bruce W Jackson | Dentist | 111 Lilac Dr, Liberal, KS 67901 | 2007-02-06 |
| 1376637058 | Dr. Peter Lee D.o. | Clinic/Center | 23 East 11th, Liberal, KS 67901 | 2006-10-03 |
| 1568574002 | Terry Dee Romans | Dentist | 2110 N Grant, Liberal, KS 67901 | 2006-08-31 |
| Find all providers in zip 67901 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962847871 | Fadi A Darwiche | Urology | 305 W 15th St, Ste 102, Liberal, KS 67901-2455 | 2013-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407484827 | Jesse Curtis Lindquist | Urology | 7450 Kessler St Ste 110, Merriam, KS 66204-2519 | 2020-03-31 |
| 1316571623 | Kenneth Elliott Schmanke | Urology | 2609 Sw Randolph Ct, Topeka, KS 66611-1731 | 2020-02-25 |
| 1619344934 | Quantum Health and Wellness Center | Urology | 227 Blue Earth Place, Suite 209, Manhattan, KS 66502 | 2015-08-24 |
| 1568738474 | William Roger Herre | Urology | 9301 W 74th St Ste 225, Merriam, KS 66204-2217 | 2012-03-25 |
| 1689952939 | Charles Kempe Casteel | Urology | 272 Lakeshore Dr W, Lake Quivira, KS 66217-8521 | 2011-08-03 |
| 1922395938 | Eric Deroo | Urology | 10550 Quivira Rd Ste 105, Overland Park, KS 66215-2302 | 2011-06-29 |
| 1255639787 | Howard Chris Halvorson | Urology | 10569 S Glenview Ln, Olathe, KS 66061-7427 | 2011-03-08 |
| 1811145212 | Subrahmanyeswara Srinivas Samavedi | Urology | 2214 Canterbury Dr Ste 308, Hays, KS 67601-2375 | 2008-08-28 |
| 1538332788 | Felipe Rosso | Urology | 1133 College Ave Ste G100, Associated Urologists Pa, Manhattan, KS 66502-2756 | 2008-04-09 |
| 1447399431 | Moben Mirza | Urology | 3901 Rainbow Blvd Ms 3016, Dept of Urology - Univ of Ks Medical Ctr, Kansas City, KS 66160 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.