| Doctor Name: | JASON E LEEDY |
| NPI Number: | 1154416857 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 35085266 |
| Business Practice Address: | 6770 Mayfield Rd Suite 449 Mayfield Heights, OH - 441242270 |
| Business Phone Number: | 4404616100 |
| Business Fax Number: | 4404611440 |
| Mailing Address: | 6770 Mayfield Rd, Suite 449 MAYFIELD HEIGHTS |
| State: | OH |
| Postal Code: | 441242270 |
| Phone Number: | 4404616100 |
| Fax Number: | 4404611440 |
| NPI Enumeration Date: | 10/04/2006 |
| NPI Last Update Date: | 06/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0122X |
| License Number: | 35085266 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Plastic and Reconstructive Surgery |
| Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |