Active NPI
Leon & Leon, M.D., P.a
- Family Medicine Physician
- Waldorf, MD
National Provider Identifier
1124096524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LEON & LEON, M.D., P.A
- Practice address
- 3261 Old Washington Rd
Suite 3010
Waldorf, MD 20602-3223 - Phone
- (301) 645-9551
- Fax
- (301) 645-0039
- NPI assigned
- Mar 10, 2006
- Organization subpart
- Yes
- Parent organization
- LEON & LEON, M.D., P.A.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joan Barker, CMM
- Title
- Office Manager
- Phone
- (301) 645-9551
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3261 Old Washington Rd
Suite 3010
Waldorf, MD 20602-3223
Mailing address
3261 Old Washington Rd
Suite 3010
Waldorf, MD 20602-3223
Phone (301) 645-9551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 752341600 | Medicaid | MD |
Other names 1
- St Charles Healthcare / Leon Medical Center
National Provider Directory
National Provider Directory- Part of
- St Charles Health Care
Locations
3261 Old Washington Rd
Ste 1020
Waldorf, MD 20602
Phone (301) 868-4326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214524800000",
"number": "1124096524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3261 OLD WASHINGTON RD",
"address_2": "SUITE 3010",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023223",
"telephone_number": "301-645-9551",
"fax_number": "301-645-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3261 OLD WASHINGTON RD",
"address_2": "SUITE 3010",
"city": "WALDORF",
"state": "MD",
"postal_code": "206023223",
"telephone_number": "301-645-9551",
"fax_number": "301-645-0039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEON & LEON, M.D., P.A",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEON & LEON, M.D., P.A.",
"enumeration_date": "2006-03-10",
"last_updated": "2008-06-27",
"status": "A",
"authorized_official_last_name": "BARKER",
"authorized_official_first_name": "JOAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "301-645-9551",
"authorized_official_credential": "CMM"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "752341600",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St Charles Healthcare / Leon Medical Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.