Provider Demographics
NPI:1598740045
Name:MEEKS, LEIGH ANNA (MD)
Entity Type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANNA
Last Name:MEEKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 843
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26507-0843
Mailing Address - Country:US
Mailing Address - Phone:304-285-7101
Mailing Address - Fax:
Practice Address - Street 1:2107 PIKE ST STE 6
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-6973
Practice Address - Country:US
Practice Address - Phone:304-865-5500
Practice Address - Fax:304-865-5575
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN60351208000000X
WV19568208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ054432Medicaid
G80068Medicare UPIN
NC2327875Medicare PIN