Organization Active NPI

Efren Leonida MD LLC

  • Family Medicine Physician
  • Mt Pleasant, PA
National Provider Identifier
1730453440
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD034778L Issued in PA
Legal business name
EFREN LEONIDA MD LLC
Practice address
1 Braddock Road Ave
Suite a
Mt Pleasant, PA 15666-1458
Phone
(724) 547-4565
NPI assigned
Feb 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Ms. Marla K Vinkler
Title
Medical Secretary
Phone
(724) 547-4565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X MD034778L PA Primary

Addresses

Primary practice location

1 Braddock Road Ave
Suite a
Mt Pleasant, PA 15666-1458

Mailing address

1 Braddock Road Ave
Suite a
Mt Pleasant, PA 15666-1458
Phone (724) 547-4565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120411000388 PA Part B Supplier - Clinic/Group Practice 1153582523 Receives reassigned benefits from 4 practitioners
Practice locations: Mt Pleasant, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2075749Efren Leonida MD LLC1 Braddock Ave Suite a, Mount Pleasant, PA 15666Certificate of waiverApr 3, 2028

National Provider Directory

National Provider Directory

Locations

137 Mathews St
Greensburg, PA 15601
Phone (724) 237-5600

1 Braddock Road Ave
Ste A
Mt Pleasant, PA 15666
Phone (724) 547-4565

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1730453440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRADDOCK ROAD AVE",
            "address_2": "SUITE A",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661458",
            "telephone_number": "724-547-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRADDOCK ROAD AVE",
            "address_2": "SUITE A",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661458",
            "telephone_number": "724-547-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFREN LEONIDA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "VINKLER",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL SECRETARY",
        "authorized_official_telephone_number": "724-547-4565",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD034778L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.