Individual provider Active NPI

Leon A. Asadourian, M.D.

  • Gynecologic Oncology Physician
  • Carefree, AZ
National Provider Identifier
1679635981
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
4085 Issued in AZ
Practice address
36431 N Peaceful Place
Carefree, AZ 85377
Phone
(480) 575-0865
Fax
(480) 575-0865
NPI assigned
Dec 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 4085 AZ Primary

Addresses

Primary practice location

36431 N Peaceful Place
Carefree, AZ 85377

Mailing address

PO Box 5912
Carefree, AZ 85377-5912
Phone (480) 575-0865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110412000685 AZ Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 8426232661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679635981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5912",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "853775912",
            "telephone_number": "480-575-0865",
            "fax_number": "480-575-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36431 N PEACEFUL PLACE",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "85377",
            "telephone_number": "480-575-0865",
            "fax_number": "480-575-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASADOURIAN",
        "first_name": "LEON",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "AZ",
            "license": "4085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carefree, AZ

Sources for this page

Verify at the official NPI Registry.