Active NPI
Leonard Paul Linke Jr., CRNA
- Certified Registered Nurse Anesthetist
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 595668
- Practice address
- 2701 Hospital Dr
Victoria, TX 77901-5748 - Phone
- (361) 573-9181
- NPI assigned
- Jan 11, 2010
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 595668 | TX | Primary |
Addresses
Primary practice location
2701 Hospital Dr
Victoria, TX 77901-5748
Mailing address
2701 Hospital Dr
Victoria, TX 77901-5748
Phone (361) 573-9181
Other practice location 1
6404 Nursery Dr Ste 300
Victoria, TX 77904-1688
Phone (361) 570-8311
Other practice location 2
815 N Virginia St
Port Lavaca, TX 77979-3025
Phone (361) 552-6713
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211755801 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 595668 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizen's Medical Center County of Victoria | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Citizens Medical Center County of Victoria | Past | Accepting new patients |
Locations
815 N Virginia St
Port Lavaca, TX 77979
Phone (361) 552-0325
1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161
5404 Summerhill Rd
Texarkana, TX 75503
Phone (903) 792-3773
2701 Hospital Dr
Victoria, TX 77901
Phone (361) 573-9180
6404 Nursery Dr
Ste 300
Victoria, TX 77904
Phone (361) 570-8311
2701 Hospital Dr
Fl 6
Victoria, TX 77901
Phone (361) 572-5113
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.
-
dba Citizens Medical Professional
- Multi-Specialty Clinic/Center
- Victoria, TX
- NPI 1205242088
-
dba YPS Anesthesia Services
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered, TX
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1679803803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 HOSPITAL DR",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015748",
"telephone_number": "361-573-9181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 HOSPITAL DR",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015748",
"telephone_number": "361-573-9181"
}
],
"practiceLocations": [
{
"address_1": "6404 Nursery Dr Ste 300",
"address_purpose": "LOCATION",
"city": "Victoria",
"state": "TX",
"postal_code": "779041688",
"country_code": "US",
"telephone_number": "361-570-8311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "815 N Virginia St",
"address_purpose": "LOCATION",
"city": "Port Lavaca",
"state": "TX",
"postal_code": "779793025",
"country_code": "US",
"telephone_number": "361-552-6713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINKE",
"first_name": "LEONARD",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-01-11",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "595668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211755801",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.