Active NPI
Christopher James Leonard, D.O.
- Surgery Physician
- Miami Beach, FL
National Provider Identifier
1376726612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0102202281
- Practice address
- 300 71St Street
Suite 620
Miami Beach, FL 33141-3089 - Phone
- (305) 866-9951
- Fax
- (305) 614-3352
- NPI assigned
- Dec 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2285-T | WV | |
| Surgery Physician | 208600000X | 0102202281 | VA | Primary |
Addresses
Primary practice location
300 71St Street
Suite 620
Miami Beach, FL 33141-3089
Mailing address
319 Hospital Dr
Suite 201
Martinsville, VA 24112-1929
Phone (276) 670-7040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376726612 | Medicaid | VA |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2285-T | WV | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254182400000",
"number": "1376726612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 HOSPITAL DR",
"address_2": "SUITE 201",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241121929",
"telephone_number": "276-670-7040",
"fax_number": "276-670-7041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 71ST STREET",
"address_2": "SUITE 620",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331413089",
"telephone_number": "305-866-9951",
"fax_number": "305-614-3352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "CHRISTOPHER",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-10",
"last_updated": "2009-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "2285-T",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0102202281",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376726612",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.