Individual provider Active NPI

Shonagh Ann Leonard

  • Dermatology Physician
  • Bedford, NH
National Provider Identifier
1750917159
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
34478 Issued in NH
Practice address
176 S River Rd
Bedford, NH 03110-6925
Phone
(603) 942-2003
Fax
(603) 403-7809
NPI assigned
Mar 17, 2020
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 34478 NH Primary

Addresses

Primary practice location

176 S River Rd
Bedford, NH 03110-6925

Mailing address

111 New Hampshire Ave Ste 2
Portsmouth, NH 03801-2864
Phone (330) 947-6021

Other practice location 1

5333 McAuley Drive
Suite 4001
Ypsilanti, MI 48197-8633
Phone (734) 712-3980

Other practice location 2

23 Portsmouth Ave
Stratham, NH 03885-2520
Phone (603) 942-2171

Other practice location 3

135 Hooksett Rd
Manchester, NH 03104-2641
Phone (603) 441-1076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20250805003481 NH Practitioner - Dermatology 4486055027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of New England, College of Osteo Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Dermatology LLCGroup PAC ID 3971561648, 74 clinicians

Practice addresses (Care Compare)

176 S River Rd
Bedford, NH 03110-7061
Phone (603) 942-2003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions212
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy77

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Dermatology LLC Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Advanced Dermatology and Skin Cancer Center Past Accepting new patients

Locations

176 S River Rd
Bedford, NH 03110
Phone (603) 644-8334

1 Hampton Rd
Ste A306
Exeter, NH 03833
Phone (603) 294-4635

135 Hooksett Rd
Manchester, NH 03104
Phone (603) 441-1076

111 New Hampshire Ave
Ste 2
Portsmouth, NH 03801
Phone (603) 319-4490

23 Portsmouth Ave
Stratham, NH 03885
Phone (603) 942-2171

987 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 271-8589

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1750917159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NEW HAMPSHIRE AVE STE 2",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038012864",
            "telephone_number": "330-947-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 S RIVER RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106925",
            "telephone_number": "603-942-2003",
            "fax_number": "603-403-7809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5333 McAuley Drive",
            "address_2": "Suite 4001",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481978633",
            "country_code": "US",
            "telephone_number": "734-712-3980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23 Portsmouth Ave",
            "address_purpose": "LOCATION",
            "city": "Stratham",
            "state": "NH",
            "postal_code": "038852520",
            "country_code": "US",
            "telephone_number": "603-942-2171",
            "fax_number": "603-371-3104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Hooksett Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031042641",
            "country_code": "US",
            "telephone_number": "603-441-1076",
            "fax_number": "603-369-4663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "SHONAGH",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "34478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.