Active NPI
Kathleen Leber, MD PA
- Dermatology Physician
- Tampa, FL
National Provider Identifier
1336105758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- KATHLEEN LEBER, MD PA
- Practice address
- 2835 W de Leon St
Suite 201
Tampa, FL 33609-4168 - Phone
- (813) 350-0700
- Fax
- (813) 350-0703
- NPI assigned
- Apr 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kathleen Leber, M.D.
- Title
- Owner
- Phone
- (813) 350-0700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
2835 W de Leon St
Suite 201
Tampa, FL 33609-4168
Mailing address
2835 W de Leon St
Suite 201
Tampa, FL 33609-4168
Phone (813) 350-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2835 W De Leon St
Ste 201
Tampa, FL 33609
Phone (727) 428-6344
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Tampa, FL
- NPI 1285603365
-
- Family Nurse Practitioner
- Melbourne, FL
- NPI 1952765810
-
- Family Nurse Practitioner
- Clearwater, FL
- NPI 1528322153
-
- Primary Care Nurse Practitioner
- Tampa, FL
- NPI 1366761546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469664000000",
"number": "1336105758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2835 W DE LEON ST",
"address_2": "SUITE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094168",
"telephone_number": "813-350-0700",
"fax_number": "813-350-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2835 W DE LEON ST",
"address_2": "SUITE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336094168",
"telephone_number": "813-350-0700",
"fax_number": "813-350-0703"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHLEEN LEBER, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-25",
"last_updated": "2016-07-28",
"status": "A",
"authorized_official_last_name": "LEBER",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "813-350-0700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.