Active NPI
Astrid Libertad Leon, M.D.
- Surgery Physician
- Dayton, OH
National Provider Identifier
1578185948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 57.249702
- Practice address
- 128 E. Apple St.
Weber Center for Health Education, 7TH Floor
Dayton, OH 45409 - Phone
- (937) 208-4953
- NPI assigned
- May 8, 2020
- Last updated
- May 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 57.249702 | OH | Primary |
Addresses
Primary practice location
128 E. Apple St.
Weber Center for Health Education, 7TH Floor
Dayton, OH 45409
Mailing address
128 E. Apple St.
Weber Center for Health Education 7TH Floor
Dayton, OH 45409
Other names 1
- Astrid Medina
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200515002384 | OH | Order and Referring Only - General Surgery | 3476984923 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588896000000",
"number": "1578185948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 E. APPLE ST.",
"address_2": "WEBER CENTER FOR HEALTH EDUCATION 7TH FLOOR",
"city": "DAYTON",
"state": "OH",
"postal_code": "45409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 E. APPLE ST.",
"address_2": "WEBER CENTER FOR HEALTH EDUCATION, 7TH FLOOR",
"city": "DAYTON",
"state": "OH",
"postal_code": "45409",
"telephone_number": "937-208-4953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "ASTRID",
"middle_name": "LIBERTAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-08",
"last_updated": "2020-05-08",
"certification_date": "2020-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "57.249702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASTRID",
"last_name": "MEDINA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.