Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emma Leatham, PA-C

Individual provider Physician Assistant · NPI 1043769326

Emma Leatham, PA-C is a Physician Assistant in Brockport, New York. Qualified in 2016, 10 years ago. Practices with Kelsey-Seybold Medical Group, PLLC, a 942-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Texas.

Years since qualifying
10
Licensed in
NY, TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

156 W Ave
Brockport, NY 14420-1229
Phone: (585) 758-7557
Fax: (525) 637-5626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22407 Holzwarth Rd, Spring, TX 77389-1933 — (346) 674-4000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 020181 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA15983 (TX)

Record details

NPI number1043769326
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2016
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Kelsey-Seybold Medical Group, Pllc — 942 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Brockport