NPIMap

Individual provider Active NPI

Leon C Chow, MD

  • Specialist
  • Middleburg, FL
National Provider Identifier
1114983376
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME69843 Issued in FL
Practice address
1658 St Vincents Way
Suite 300
Middleburg, FL 32068-8431
Phone
(904) 276-5100
Fax
(904) 276-5393
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME69843 FL Primary

Addresses

Primary practice location

1658 St Vincents Way
Suite 300
Middleburg, FL 32068-8431

Mailing address

1658 St Vincents Way
Suite 300
Middleburg, FL 32068-8431
Phone (904) 276-5100

Other identifiers 1

IdentifierTypeStateIssuer
379297800MedicaidFL

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME69843FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Ekg Associates Past Accepting new patients
Ecg Associates of Jacksonville P a Past Accepting new patients
Southern Heart Group, P.a. Specialist Past Accepting new patients
Amy Townsend MD PA Past Accepting new patients
Southern Heart Group Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1114983376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 ST VINCENTS WAY",
            "address_2": "SUITE 300",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688431",
            "telephone_number": "904-276-5100",
            "fax_number": "904-276-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 ST VINCENTS WAY",
            "address_2": "SUITE 300",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688431",
            "telephone_number": "904-276-5100",
            "fax_number": "904-276-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOW",
        "first_name": "LEON",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME69843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379297800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.