Organization Active NPI

Leon & Leon, M.D., P.a

  • Family Medicine Physician
  • Waldorf, MD
National Provider Identifier
1124096524
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
752341600MedicaidMD

Other names 1

  • St Charles Healthcare / Leon Medical Center Doing business as

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.

Verify at the official NPI Registry.