Active NPI
Leslie Tadzynski Shur, DO
- Pediatrics Physician
- Philadelphia, PA
National Provider Identifier
1801169248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS004602L
- Practice address
- 540 Telner St
Philadelphia, PA 19118-4214 - Phone
- (215) 248-4477
- Fax
- (215) 248-2110
- NPI assigned
- Feb 15, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS004602L | PA | Primary |
| Pediatrics Physician | 208000000X | 25MB04452600 | NJ |
Addresses
Primary practice location
540 Telner St
Philadelphia, PA 19118-4214
Mailing address
540 Telner St
Philadelphia, PA 19118-4214
Phone (215) 248-4477
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB04452600 | NJ | MD | Pediatrics Physician |
| OS004602L | PA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1801169248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 TELNER ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191184214",
"telephone_number": "215-248-4477",
"fax_number": "215-248-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 TELNER ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191184214",
"telephone_number": "215-248-4477",
"fax_number": "215-248-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUR",
"first_name": "LESLIE",
"middle_name": "TADZYNSKI",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-15",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS004602L",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MB04452600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.