Active NPI
Marshall Leland
- Pediatrics Physician
- Corpus Christi, TX
National Provider Identifier
1639706864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- U3918
- Practice address
- 3533 S Alameda St
Corpus Christi, TX 78411-1721 - Phone
- (361) 694-5000
- NPI assigned
- Mar 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | U3918 | TX | Primary |
Addresses
Primary practice location
3533 S Alameda St
Corpus Christi, TX 78411-1721
Mailing address
3206 W 138TH St
Cleveland, OH 44111-1538
Phone (301) 661-8392
Other practice location 1
214 W Bowery St
Akron, OH 44308-1046
Phone (330) 543-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Driscoll Childrens Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Plastic Reconstructive Surgical Services of South Texas
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
-
- Children's Hospital
- Corpus Christi, TX
- NPI 1548286172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1639706864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3206 W 138TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441111538",
"telephone_number": "301-661-8392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 S ALAMEDA ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784111721",
"telephone_number": "361-694-5000"
}
],
"practiceLocations": [
{
"address_1": "214 W Bowery St",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443081046",
"country_code": "US",
"telephone_number": "330-543-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LELAND",
"first_name": "MARSHALL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-26",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "U3918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.