Individual provider Active NPI

Stephen J Leonard, DPM

  • Podiatrist
  • Spring Hill, FL
National Provider Identifier
1821169434
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P00002024 Issued in FL
Practice address
4015 Mariner Blvd
Florida Foot & Ankle Center PA
Spring Hill, FL 34609-2720
Phone
(352) 688-9558
Fax
(352) 683-6837
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P00002024 FL Primary

Addresses

Primary practice location

4015 Mariner Blvd
Florida Foot & Ankle Center PA
Spring Hill, FL 34609-2720

Mailing address

4015 Mariner Blvd
Florida Foot & Ankle Center PA
Spring Hill, FL 34609-2720
Phone (352) 688-9558

Other identifiers 3

IdentifierTypeStateIssuer
65143OtherFLBLUE CROSS BLUE SHIELD
2649714633OtherFLAUMED
6200023OtherFLGHI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
P00002024FLMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1821169434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 MARINER BLVD",
            "address_2": "FLORIDA FOOT & ANKLE CENTER PA",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092720",
            "telephone_number": "352-688-9558",
            "fax_number": "352-683-6837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 MARINER BLVD",
            "address_2": "FLORIDA FOOT & ANKLE CENTER PA",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346092720",
            "telephone_number": "352-688-9558",
            "fax_number": "352-683-6837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P00002024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65143",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUMED",
            "identifier": "2649714633",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6200023",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.