Leonard a Lado MD PA

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

Legal business name

LEONARD A LADO MD PA

Practice address

9410 Fountain Medical CT Ste 200
Bonita Springs, FL 34135-4525

Phone

(239) 948-4325

Fax

(239) 288-0574

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Leonard A Lado, MDNPI 1487642997

Title

President

Phone

(239) 948-4325

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Lado Healing Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonard A Lado, MD

  • Psychiatry Physician
  • Bonita Springs, FL
  • NPI 1487642997
  Medicare reassignment Authorized official
• Silvana Toscano, PA

  • Physician Assistant
  • Naples, FL
  • NPI 1255882593
  Medicare reassignment
• Neesha Nicklaus, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Estero, FL
  • NPI 1528899911
  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1295920254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 FOUNTAIN MEDICAL CT STE 200",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354525",
            "telephone_number": "239-948-4325",
            "fax_number": "239-288-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 FOUNTAIN MEDICAL CT STE 200",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354525",
            "telephone_number": "239-948-4325",
            "fax_number": "239-288-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD A LADO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "LADO",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-948-4325",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "FL",
            "license": "ME84351",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001400400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "15399",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lado Healing Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lado Healing Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian D Lee
• Suzy Lee, M.D.
• Dalymar Legrand Torres
• Lelite Hair and More Beauty Studio LLC
• Donald Henry Lemire Jr., D.D.S.
• Timothy Leung
• LG Rehab Center, Inc
• Lice Avengers of SW Florida LLC
• Life & Hope Medical Center Inc
• Lee Raymond Light, M.D.

• Addiction Psychiatry Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Addiction Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.