Leon Bargo, ARNP
Individual provider Active NPI Nurse Practitioner · Lexington, KY
NPI 1851383103 · NPPES record last updated Mar 29, 2018
Key facts
- NPI
- 1851383103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 3003670 (KY)
- Practice address
- 1101 Veterans Dr
Lexington, KY 40502-2235 - Phone
- (859) 233-4511
- Fax
- (859) 233-3881
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3003670 | KY | Yes |
Addresses
Primary practice location
1101 Veterans Dr
Lexington, KY 40502-2235
Mailing address
1101 Veterans Dr
Lexington, KY 40502-2235
Phone (859) 233-4511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78008877 | Medicaid | KY |
Other providers in Lexington, KY
- Mary-Beth Ping Barcus
- Leslie Bardo
- Scarlett Bardo
- Skylar Barger
- Tiffany Lynn Barger
- Bariatric Surgical Associates,PLLC
- Thomas E. Baribeault
- Christine Marie Barilleaux
- Joseph Paul Bark
- Ashley Barker
All providers in Lexington, KY · Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.