Active NPI
Fermin Leguen, MD
- Public Health & General Preventive Medicine Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- ME79753
- Practice address
- 280 S Decatur Blvd
Las Vegas, NV 89107 - Phone
- (702) 759-1000
- Fax
- (702) 759-1478
- NPI assigned
- Jan 11, 2007
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME79753 | FL | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | ME79753 | FL | Primary |
Addresses
Primary practice location
280 S Decatur Blvd
Las Vegas, NV 89107
Mailing address
7551 Forest Oaks Blvd
Spring Hill, FL 34606
Phone (352) 540-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258349600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200317000224 | NV | Practitioner - Preventive Medicine | 5890766208 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME79753 | FL | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Past | Accepting new patients |
Interoperability endpoints
- fermin.leguen@snhd.eclinicaldirectplus.com
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Southern Neveda Community Health Center | Federally qualified health center | Corporate Director (100%) W-2 Managing Employee (100%) Operational/Managerial Control (100%) |
Aug 1, 2016 Aug 1, 2016 Jan 10, 2020 |
| Southern Nevada Community Health Center | Federally qualified health center | Contracted Managing Employee Corporate Officer |
Aug 1, 2016 Aug 1, 2016 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Las Vegas, NV
- NPI 1932745668
Contracted Managing Employee, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
Organizations & group practices 1
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.
-
- Public Health or Welfare Agency
- Quincy, FL
- NPI 1346446895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1740330711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7551 FOREST OAKS BLVD",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "34606",
"telephone_number": "352-540-6800",
"fax_number": "352-688-5030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 S DECATUR BLVD",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89107",
"telephone_number": "702-759-1000",
"fax_number": "702-759-1478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGUEN",
"first_name": "FERMIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME79753",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "FL",
"license": "ME79753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258349600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.