Provider Demographics
NPI:1104885029
Name:LECAT, PAUL J (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:LECAT
Suffix:
Gender:M
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 1:1 AKRON GENERAL AVE
Mailing Address - Street 2:2ND FLOOR ACC
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-2432
Mailing Address - Country:US
Mailing Address - Phone:330-344-6047
Mailing Address - Fax:330-344-6042
Practice Address - Street 1:1 AKRON GENERAL AVE
Practice Address - Street 2:2ND FLOOR ACC
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-2432
Practice Address - Country:US
Practice Address - Phone:330-344-6047
Practice Address - Fax:330-344-6042
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-06-3359207R00000X
OH35-063359208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0290886OtherAKRON GENERAL MEDICAL CENTER MEDICAID GROUP #
OH1841239274OtherPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH3600271OtherAKRON GENERAL MEDICAL CENTER MEDICARE GROUP #
OH2068891Medicaid
OH1821035940OtherAKRON GENERAL MEDICAL CENTER TYPE 2 NPI #
OH3600271OtherAKRON GENERAL MEDICAL CENTER MEDICARE GROUP #
F94380Medicare UPIN