Individual provider Active NPI

Ross Albert Leonard, D.P.M.

  • Podiatrist
  • Klamath Falls, OR
National Provider Identifier
1245280379
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DP00138 OR Primary

Addresses

Primary practice location

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

Mailing address

2300 Clairmont Dr Ste a
Klamath Falls, OR 97601-1136
Phone (541) 850-6463

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00138ORMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cow Creek Band of Umpqua Tribe of Indians CurrentSince Aug 8, 2021 Accepting new patients
Klamath Falls Foot and Ankle LLC Past Accepting new patients

Locations

2371 NE Stephens St
Ste 200
Roseburg, OR 97470
Phone (541) 672-8533

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • 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.