Organization Active NPI

Jose M. Fernandez-Leon

  • Surgery Physician
  • Pensacola, FL
National Provider Identifier
1578512117
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JOSE M. FERNANDEZ-LEON
Practice address
4531 N Davis Hwy
Pensacola, FL 32503-2770
Phone
(850) 484-5577
Fax
(850) 484-5444
NPI assigned
May 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jose M. Fernandez-Leon, MDNPI 1407811540
Title
Owner
Phone
(850) 484-5577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

4531 N Davis Hwy
Pensacola, FL 32503-2770

Mailing address

2304 Arriviste Way
Pensacola, FL 32504-5901
Phone (850) 484-5577

National Provider Directory

National Provider Directory

Locations

5028 N Davis Hwy
Pensacola, FL 32503

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578512117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 ARRIVISTE WAY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045901",
            "telephone_number": "850-484-5577",
            "fax_number": "850-484-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032770",
            "telephone_number": "850-484-5577",
            "fax_number": "850-484-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE M. FERNANDEZ-LEON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ-LEON",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-484-5577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.