Leo Alfred Carney III, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

O-1851 Issued in ID

Practice address

824 S Diamond St
Nampa, ID 83686-5960

Phone

(208) 606-0396

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, ID, DC3 enrollments

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 3

Specialty

Family Practice

Education

Philadelphia College of Osteopathic Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: leo.carney.1@28563.direct.athenahealth.com

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.

• Cornerstone Whole Healthcare Organization, Inc.

  dba C-Who

  • Multi-Specialty Clinic/Center
  • Nampa, ID
  • NPI 1164153508
  Medicare reassignment NPD
• Baby Doc Inc

  dba Night Watch Pediatric Urgent Care

  • Urgent Care Clinic/Center
  • Manassas, VA
  • NPI 1174004774
  Medicare reassignment NPD
• Falls Church Pediatrics

  dba Kids Watch Pediatrics & Urgent Care

  • Primary Care Clinic/Center
  • Falls Church, VA
  • NPI 1588481576

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1811972706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42010 VILLAGE CENTER PLZ STE 100",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201053036",
            "telephone_number": "703-775-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 S DIAMOND ST",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865960",
            "telephone_number": "208-606-0396"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42010 Village Center Plz Ste 100",
            "address_purpose": "LOCATION",
            "city": "Stone Ridge",
            "state": "VA",
            "postal_code": "201053036",
            "country_code": "US",
            "telephone_number": "703-775-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "LEO",
        "middle_name": "ALFRED",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102205195",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-1851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Alicia Carlisle, LMSW
• Joni Carlo
• Avery Brianne Carlson, ATC, LAT
• Gerald E Carlson, D.O
• Hillary Carlson, AU.D.
• Caroline Marino Counseling LLC
• Geoff Scott Carr, RRT
• Glenda Marie Carr, PHARMD
• Troy Linnemeyer Carr
• Nicholas Carreno

• Family Medicine Physician in Nampa, ID
• Providers in Nampa, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.