Provider Demographics
NPI:1770677551
Name:FOUNDAS, ANNE LEIGH (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:LEIGH
Last Name:FOUNDAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 HOLMES STREET
Mailing Address - Street 2:STE 800
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108
Mailing Address - Country:US
Mailing Address - Phone:816-218-2500
Mailing Address - Fax:816-421-7379
Practice Address - Street 1:2301 HOLEMS STREET
Practice Address - Street 2:
Practice Address - City:KANSAS CITY MO
Practice Address - State:MO
Practice Address - Zip Code:84108
Practice Address - Country:US
Practice Address - Phone:816-404-0099
Practice Address - Fax:504-568-7130
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20130329762084N0400X
LAMD.09549R2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04350223Medicaid
LA1961370Medicaid
LA1961370Medicaid
MO263A00159Medicare PIN
MS04350223Medicaid
LA5R552F669Medicare PIN
LA5R552Medicare PIN