Active NPI
Laura J Leonard, M.D.
- Pediatrics Physician
- Sayre, PA
National Provider Identifier
1669409249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD462097
- Practice address
- 1011 N Elmer Ave
Sayre, PA 18840-1832 - Phone
- (570) 887-3070
- Fax
- (570) 887-3382
- NPI assigned
- Jun 27, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD462097 | PA | Primary |
Addresses
Primary practice location
1011 N Elmer Ave
Sayre, PA 18840-1832
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02091418 | Medicaid | NY | |
| 161355553 | Other | BUSINESS TAX ID |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lleonard128120@direct-guthrie.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Albany Medical College of Union University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 N Elmer Ave
Pediatrics
Sayre, PA 18840-1832
Phone (570) 887-3070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD462097 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Robert Packer Hospital | Past | Accepting new patients | |
| Guthrie Medical Group PC | Past | Accepting new patients |
Locations
3344 Chambers Rd
#200
Horseheads, NY 14845
Phone (607) 734-2264
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
1011 N Elmer Ave
Sayre, PA 18840
Phone (570) 887-3070
Interoperability endpoints
- lleonard128120@direct-guthrie.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Family Medicine Physician
- Sayre, PA
- NPI 1508818733
-
- Clinical Medical Laboratory
- Sayre, PA
- NPI 1649225855
-
- General Acute Care Hospital
- Sayre, PA
- NPI 1083614382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1669409249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQ",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401625",
"telephone_number": "570-888-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 N ELMER AVE",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401832",
"telephone_number": "570-887-3070",
"fax_number": "570-887-3382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "LAURA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD462097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02091418",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUSINESS TAX ID",
"identifier": "161355553",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lleonard128120@direct-guthrie.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1011 N Elmer Ave",
"city": "Sayre",
"state": "PA",
"country_code": "US",
"postal_code": "188401832",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sayre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.