Leonard E. Dale II, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD013080E Issued in PA

Practice address

32-36 Central Ave
Wellsboro, PA 16901-1840

Phone

(570) 723-0163

Fax

(570) 723-0188

NPI assigned

Jun 24, 2005

Last updated

Nov 10, 2009By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Upmc Wellsboro

  • Internal Medicine Physician
  • Wellsboro, PA
  • NPI 1275090433
  NPD (past)
• Wellsboro Imaging Inc

  • Diagnostic Radiology Physician
  • Wellsboro, PA
  • NPI 1952372526
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1811993744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169010021",
            "telephone_number": "570-723-0163",
            "fax_number": "570-723-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32-36 CENTRAL AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011840",
            "telephone_number": "570-723-0163",
            "fax_number": "570-723-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "LEONARD",
        "middle_name": "E.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD013080E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009512600001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Crilley, FNP
• Crossroads Counseling, Inc.
• Christal Crowell, DPT
• Pamela M Cummings, PTA
• Elizabeth Kull Czako, CFNP
• Dca of Wellsboro, LLC (U.S. Renal Care Wellsboro Dialysis)
• Crystal Deitrick, M.ED., LPC
• Mitchell Dent, DNP, CRNA
• Trudi M Dibble, PT ASSISTANT
• Autumn Elizabeth Dietrich

• Diagnostic Radiology Physician in Wellsboro, PA
• Providers in Wellsboro, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.