NPIMap

Individual provider Active NPI

Leonard T Walsh, MD

  • Gastroenterology Physician
  • Honesdale, PA
National Provider Identifier
1407389554
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MT214317 Issued in PA
Practice address
1860 Fair Ave Ste a
Honesdale, PA 18431-2108
Phone
(570) 253-3391
Fax
(570) 253-1811
NPI assigned
Apr 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MT214317 PA Primary

Addresses

Primary practice location

1860 Fair Ave Ste a
Honesdale, PA 18431-2108

Mailing address

1860 Fair Ave Ste a
Honesdale, PA 18431-2108
Phone (570) 253-3391

Other practice location 1

2812 Scranton Carbondale Hwy Ste 103
Blakely, PA 18447-2403
Phone (570) 291-4936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211108002933 PA Practitioner - HospitalistPractitioner - Internal Medicine 0446674063 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeastern Gastroenterology Associates, PCGroup PAC ID 7113990912, 8 clinicians

Practice addresses (Care Compare)

1860 Fair Ave
Suite a
Honesdale, PA 18431-2108
Phone (570) 253-3391

Hospital & facility affiliations

  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125
  • Regional Hospital of Scranton Hospital, Scranton, PA, CCN 390237
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy257
Upper gastrointestinal (GI) endoscopy for acid reflux264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. Gastroenterology CurrentSince Sep 2, 2021 Accepting new patients
Northeastern Gastroenterology Associates, PC Gastroenterology CurrentSince Aug 1, 2023 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Sep 2, 2021 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Pathology Associates of NE PA LTD PastSince Aug 1, 2023 Accepting new patients

Locations

2812 Scranton Carbondale Hwy
#103
Blakely, PA 18447

2812 Scranton Carbondale Hwy
Ste 103
Blakely, PA 18447
Phone (570) 253-3391

1860 Fair Ave
Ste A
Honesdale, PA 18431
Phone (570) 253-3391

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: lwalsh@gastrohonesdale.medentdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 33

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1407389554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 FAIR AVE STE A",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184312108",
            "telephone_number": "570-253-3391",
            "fax_number": "570-253-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 FAIR AVE STE A",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184312108",
            "telephone_number": "570-253-3391",
            "fax_number": "570-253-1811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2812 Scranton Carbondale Hwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "Blakely",
            "state": "PA",
            "postal_code": "184472403",
            "country_code": "US",
            "telephone_number": "570-291-4936",
            "fax_number": "570-291-4997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "LEONARD",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MT214317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

Verify at the official NPI Registry.