Leonardo T Que, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35-05-0504 Issued in OH

Practice address

611 Fulton St
Suite E
Port Clinton, OH 43452-2008

Phone

(419) 734-4539

Fax

(419) 734-6365

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: leonardo.que@direct.magruderhospital.com

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.

• Leonardo T Que MD Inc

  • Cardiovascular Disease Physician
  • Port Clinton, OH
  • NPI 1902931504
  NPD (past) Authorized official

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1356346258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 FULTON ST",
            "address_2": "SUITE E",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "43452",
            "telephone_number": "419-734-4539",
            "fax_number": "419-734-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 FULTON ST",
            "address_2": "SUITE E",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522008",
            "telephone_number": "419-734-4539",
            "fax_number": "419-734-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUE",
        "first_name": "LEONARDO",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35-05-0504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0584309",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leonardo.que@direct.magruderhospital.com",
            "affiliation": "N",
            "endpointDescription": "H.B. Magruder Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "611 Fulton St",
            "address_2": "SUITE E",
            "city": "Port Clinton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434522008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Panju Prithviraj, M.D.
• Promedica Northwest Ohio Cardiology Consultants, LLC
• Psychological Transitions, Inc
• Nathaniel Joseph Puchala, IDHS
• Quality Primary Care Corporation
• Virgie U Que, M.D.
• Kristen Marie Quisno-Witt, CCC-SLP
• Radiology Services of Ohio, Inc.
• Kevindeep Raju, PHARMD
• Alice H Randolph, EDD MSCP

• Cardiovascular Disease Physician in Port Clinton, OH
• Providers in Port Clinton, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.