Individual provider · Type 1 NPI

Nathaniel S. Leahy, PA-C

Physician Assistant · Fort Wayne, IN

NPI number 1295607679 Active

Practice location

4402 E State Blvd
Fort Wayne, IN 46815-6917

Call (260) 425-5500 Map

Fax (260) 425-5505

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10005078A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1295607679

Nathaniel S. Leahy, PA-C's National Provider Identifier is 1295607679, issued on Sep 23, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 2, 2026.