Active NPI
Anthony John Leo, MD
- Surgery Physician
- Oelwein, IA
National Provider Identifier
1609925981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 23996
- Practice address
- 201 8TH Ave SE
Oelwein, IA 50662 - Phone
- (319) 283-4321
- Fax
- (319) 283-4322
- NPI assigned
- Jan 9, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 23996 | IA | Primary |
Addresses
Primary practice location
201 8TH Ave SE
Oelwein, IA 50662
Mailing address
201 8TH Ave SE
Oelwein, IA 50662
Phone (319) 283-4321
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019935 | Medicaid | IA | |
| 25957 | Other | IA | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23996 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Floyd County Memorial Hospital Commission | Past | Accepting new patients | |
| Boone County Hospital | Past | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
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- Boone, IA
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-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609925981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 8TH AVE SE",
"city": "OELWEIN",
"state": "IA",
"postal_code": "50662",
"telephone_number": "319-283-4321",
"fax_number": "319-283-4322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 8TH AVE SE",
"city": "OELWEIN",
"state": "IA",
"postal_code": "50662",
"telephone_number": "319-283-4321",
"fax_number": "319-283-4322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEO",
"first_name": "ANTHONY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "23996",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019935",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "25957",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oelwein, IA
- Alan Wayne Kruger, DDS
- Jordan Catherine Langreck, PHARMD
- Jamie Marie Lanus, MSW, LISW
- Theresa A Ledesma, ARNP
- Roxanne Lenz, ARNP
- Mercy Hospital of Franciscan Sisters
- Mercy Hospital of Franciscan Sisters Inc
- Mercy Hospital of Franciscan Sisters Inc
- Mercy Hospital of Franciscan Sisters Inc
- Mercy Hospital of Franciscan Sisters Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.