Leonid B Trost MD LLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

ME100046 Issued in FL

Legal business name

LEONID B TROST MD LLC

Practice address

9400 Gladiolus Dr
Ste 320
Fort Myers, FL 33908-6699

Phone

(239) 482-7546

Fax

(239) 243-8648

NPI assigned

Jul 23, 2012

Organization subpart

No

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

Authorized official

Name

Leonid B Trost, MD

Title

MD/Owner

Phone

(239) 482-7546

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1821343229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 GLADIOLUS DR",
            "address_2": "STE 320",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086699",
            "telephone_number": "239-482-7546",
            "fax_number": "239-243-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 GLADIOLUS DR",
            "address_2": "STE 320",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086699",
            "telephone_number": "239-482-7546",
            "fax_number": "239-243-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONID B TROST MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "TROST",
        "authorized_official_first_name": "LEONID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "239-482-7546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME100046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "ME100046",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stevianne Leon
• Ashley Leonard, PA
• Kathryn Leonard, MD
• Patricia L Leonard, L.C.S.W.
• Eric Westfall Leonhardt, DO
• Paulette Leopold
• Carly Summerell Leotti, AP, DOM
• Viviana Lepe
• Ralph L Lerman, DPM
• Robert G. Lesage, O.D.

• MOHS-Micrographic Surgery Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.