Ross Albert Leonard, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DP00138 Issued in OR

Practice address

2300 Clairmont Dr Ste a
Klamath Falls, OR 97601-1136

Phone

(541) 850-6463

Fax

(541) 850-5990

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

Yes

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.

• Cow Creek Band of Umpqua Tribe of Indians

  • Federally Qualified Health Center (FQHC)
  • Canyonville, OR
  • NPI 1134567993
  NPD
• Klamath Falls Foot and Ankle LLC

  • Foot & Ankle Surgery Podiatrist
  • Klamath Falls, OR
  • NPI 1881038024
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 2, 2012.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1245280379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 CLAIRMONT DR STE A",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011136",
            "telephone_number": "541-850-6463",
            "fax_number": "541-850-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 CLAIRMONT DR STE A",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011136",
            "telephone_number": "541-850-6463",
            "fax_number": "541-850-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "ROSS",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC SOURCE ID",
            "identifier": "H252901",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229716",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE ID",
            "identifier": "14538XX",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "008599000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS TRICARE ID",
            "identifier": "0902467",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Myungwon Lee, DDS, MS
• Julie M Lee, NP
• Shelby Nicole Lee
• Tanner Dean Lee
• Danielor Lenninger
• Kevin O Lepard, MD
• Damon Lerma, MD
• Emma Lervold, SLPA
• Kyra Michelle Letzring, LPC, CADCIII
• Sarah J Levesque

• All providers in Klamath Falls, OR
• Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.