Individual provider Active NPI

Leon Isidore Avren, PA-C

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1114009750
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101116 Issued in FL
Practice address
936 Barcarmil Way
Naples, FL 34110-0903
Phone
(239) 265-3391
Fax
(239) 310-2035
NPI assigned
Oct 20, 2006
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101116 FL Primary

Addresses

Primary practice location

936 Barcarmil Way
Naples, FL 34110-0903

Mailing address

936 Barcarmil Way
Naples, FL 34110-0903
Phone (239) 265-3391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Health Centers PA Past Accepting new patients
Naples Cardiovascular Specialists Past Accepting new patients
Emergency Physicians of Naples PLLC Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1114009750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 BARCARMIL WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341100903",
            "telephone_number": "239-265-3391",
            "fax_number": "239-310-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 BARCARMIL WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341100903",
            "telephone_number": "239-265-3391",
            "fax_number": "239-310-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVREN",
        "first_name": "LEON",
        "middle_name": "ISIDORE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.