Leopoldo Poblete Legaspi Jr., MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD073981L Issued in PA

Practice address

25 Church St
Wilkes Barre, PA 18702-3507

Phone

(570) 808-3100

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment NPD
• Reading Hospital

  • Radiation Oncology Physician
  • West Reading, PA
  • NPI 1992387518
  Medicare reassignment NPD
• Tower Health Medical Group

  • Internal Medicine Physician
  • Birdsboro, PA
  • NPI 1609291350
  Medicare reassignment NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• Geisinger Medical Oncology Lock Haven

  • Medical Oncology Physician
  • Lock Haven, PA
  • NPI 1891197885
  NPD
• Reading Hospital

  • Community/Retail Pharmacy
  • Limerick, PA
  • NPI 1487468914
  NPD
• Reading Hospital

  • General Acute Care Hospital
  • West Reading, PA
  • NPI 1780913145
  NPD
• Tower Health Medical Group

  • Birthing Clinic/Center
  • Reading, PA
  • NPI 1417394115
  NPD
• Tower Health Medical Group

  • Surgery Physician
  • Wyomissing, PA
  • NPI 1831954353
  NPD
• Baca Pediatrics

  • Pediatrics Physician
  • Ephrata, PA
  • NPI 1073576831
  NPD (past)
• Geisinger Clinic

  • Hospitalist Physician
  • Wilkes Barre, PA
  • NPI 1588614358
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1194788919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHURCH ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187023507",
            "telephone_number": "570-808-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6th Ave and Spruce Street",
            "address_purpose": "LOCATION",
            "city": "West Reading",
            "state": "PA",
            "postal_code": "196111428",
            "country_code": "US",
            "telephone_number": "610-568-3637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEGASPI",
        "first_name": "LEOPOLDO",
        "middle_name": "POBLETE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD073981L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018601230002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jina Lee, M.D.
• Philip S Lee, MD
• Samuel Lee, M.D.
• Kendall Leet
• Bruce Lefkowitz, RPH
• Judith Marie Lehnowsky
• Jonathan Leonard, PA-C
• Evan Francis Leonardis
• Rebecca Leonori, PT
• Stephanie E. Lepore, CRNA

• Pediatrics Physician in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.