Joseph Jody Leone, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

851 Issued in TN

Practice address

4801 Veterans Drive
St. Cloud Veterans Medical Center
St. Cloud, MN 56303-2099

Phone

(320) 252-1670

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Emergency Medicine South LLC

  • Emergency Medicine Physician
  • Valdosta, GA
  • NPI 1194785170
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154496941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 LYNN CIR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036241",
            "telephone_number": "865-977-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 VETERANS DRIVE",
            "address_2": "ST. CLOUD VETERANS MEDICAL CENTER",
            "city": "ST. CLOUD",
            "state": "MN",
            "postal_code": "563032099",
            "telephone_number": "320-252-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONE",
        "first_name": "JOSEPH",
        "middle_name": "JODY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICEN",
            "identifier": "851",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise L Lenarz, MD
• Elizabeth Mary Lentz
• Andrea Marie Lenzen-Hammerel, OTR/L
• Jacob Matthew Lenzmeier, PHARMD
• Anne Cecile Leonard, M.A., L.P.
• Jennifer Lerdahl
• Loree Kay Leroux, MS, LPC
• Alysa D Lerud, MD
• David J Lesar, EDD LP
• Daniel Brent Leslie, MD

• Physician Assistant in St. Cloud, MN
• Providers in St. Cloud, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.