Individual
DR. LEESA DAMAR MCCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 376-5974
(812) 375-3203
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01074422A
IN
207Q00000X
Family Medicine Physician
57-012612
OH
208M00000X
Hospitalist Physician
Primary
01074422A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000984086
ANTHEM PIN
IN
01
—
01074422A
MEDICAL LICENSE
IN
01
—
01074422B
CSR
IN
05
—
201248300A
—
IN
05
—
2997155
—
OH
Enumeration date
05/24/2007
Last updated
09/06/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us