Active NPI
Leroy Milton Even, MD
- General Practice Physician
- Honesdale, PA
National Provider Identifier
1174734313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD034739E
- Practice address
- 185 Sugar St
Honesdale, PA 18431-9595 - Phone
- (570) 253-8077
- Fax
- (570) 253-8077
- NPI assigned
- May 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD034739E | PA | Primary |
Addresses
Primary practice location
185 Sugar St
Honesdale, PA 18431-9595
Mailing address
185 Sugar St
Honesdale, PA 18431-9595
Phone (570) 253-8077
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD034739E | PA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174734313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 SUGAR ST",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184319595",
"telephone_number": "570-253-8077",
"fax_number": "570-253-8077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 SUGAR ST",
"city": "HONESDALE",
"state": "PA",
"postal_code": "184319595",
"telephone_number": "570-253-8077",
"fax_number": "570-253-8077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVEN",
"first_name": "LEROY",
"middle_name": "MILTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "MD034739E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honesdale, PA
- Ellen Memorial Rehabilitation and Healthcare Center LLC
- Ellen Memorial, LLC (Ellen Memorial Health Care Center)
- Scott K. Epstein, M.D.
- Zenaida L Espino-Ostman, MD
- Kayla Esterline, PA-C
- Derek Everett
- Jenna Elizabeth Fadale
- Family Eye Care of Nepa PC
- Elaine Margaret Felix, OTA
- Alexis Helena Felsman, D.O.
Sources for this page
- 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.