Ronald Leonard

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Practice address

235 East Penn Avenue
Roseville, IL 61473

Phone

(309) 426-2128

Fax

(309) 426-2455

NPI assigned

Oct 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760562177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 EAST PENN AVENUE",
            "city": "ROSEVILLE",
            "state": "IL",
            "postal_code": "61473",
            "telephone_number": "309-426-2128",
            "fax_number": "309-426-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 EAST PENN AVENUE",
            "city": "ROSEVILLE",
            "state": "IL",
            "postal_code": "61473",
            "telephone_number": "309-426-2128",
            "fax_number": "309-426-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "RONALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goldwater Care Roseville LLC (Goldwater Care Roseville)
• Goldwater Care Roseville LLC (Goldwater Care Roseville)
• Amy B Huston III
• Jayme Renee Johnson, PTA
• Ward Scott Jones, DDS
• Osf Healthcare System (OSF Holy Family Medical Center)
• Petersen Health Care Roseville LLC (Roseville Rehabilitation & Health Care)
• Roseville Area Ambulance SVC
• Brittni Zimmerman, M.S., CCC-SLP

• Family Medicine Physician in Roseville, IL
• Providers in Roseville, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.