Leocadio B Penalosa Jr

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LEOCADIO B PENALOSA JR

Practice address

301 Goode Way
Ste 204
Portsmouth, VA 23704

Phone

(757) 397-5301

Fax

(757) 397-9536

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Leocadio B Penalosa Jr., MD

Title

Physician Owner

Phone

(757) 397-5301

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Maxim V Mirovski, MD

  • Nephrology Physician
  • Norfolk, VA
  • NPI 1689797847
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1487721445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GOODE WAY",
            "address_2": "STE 204",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23704",
            "telephone_number": "757-397-5301",
            "fax_number": "757-397-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GOODE WAY",
            "address_2": "STE 204",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23704",
            "telephone_number": "757-397-5301",
            "fax_number": "757-397-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEOCADIO B PENALOSA JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "PENALOSA",
        "authorized_official_first_name": "LEOCADIO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "757-397-5301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin John Lehmann, D.O.
• Allison Patricia Lehr, MD
• Jamie Rebecca Leigh, LCSW
• John Edward Lenahan, CRNA
• Mark Joseph Lenart, MD
• Francis William Lesinski, DDS
• Joshua Lesko
• Kaylee Marie Level
• Jonathan Levenson, RN, MHA
• Alexandra Levine, L.AC.

• Family Medicine Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.