Leamor De Leon Buenaseda, M.D. – Pediatrics Physician

Key facts

NPI: 1609945997
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: 200601348 (NC)
Practice address: 4005 Fayetteville Rd
Raeford, NC 28376-8058
Phone: (910) 848-5437
Fax: (910) 848-5439
NPI assigned: Nov 8, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Kids First Pediatrics of Raeford, PC Pediatrics Physician · Raeford, NC · NPI 1235439613

NPD (past) PEDIATRICS

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
200601348	NC	MD	Pediatrics Physician

Practice roles

Organization	Specialty	Status	New patients
Kids First Pediatrics of Raeford, PC	Pediatrics	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	200601348	NC	Yes

Addresses

Primary practice location

4005 Fayetteville Rd
Raeford, NC 28376-8058

Mailing address

333 W Summerchase Dr
Fayetteville, NC 28311-2970
Phone (910) 717-0348

Other providers in Raeford, NC

All providers in Raeford, NC · Pediatrics Physician in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.