Active NPI
Leonard Surgical Care Associates, LLC
- Surgery Physician
- Frederick, MD
National Provider Identifier
1871571976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D63740
- Legal business name
- LEONARD SURGICAL CARE ASSOCIATES, LLC
- Practice address
- 501 W Seventh St
Suite D
Frederick, MD 21701-4507 - Phone
- (301) 694-5154
- Fax
- (301) 694-5205
- NPI assigned
- Jan 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dawn Johnson Leonard, M.D.
- Title
- President
- Phone
- (301) 694-5154
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D63740 | MD | Primary |
Addresses
Primary practice location
501 W Seventh St
Suite D
Frederick, MD 21701-4507
Mailing address
501 W Seventh St
Suite D
Frederick, MD 21701-4507
Phone (301) 694-5154
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 649360-01 | Other | MD | CAREFIRST OF MD |
| 2153974 | Other | MD | ONE NET, PPO |
| 5680032 | Other | MD | FIRST HEALTH |
| 2153974 | Other | OPTIMUM CHOICE | |
| 2153974 | Other | MD | MD IPA |
| N109-0001 | Other | MD | CAREFIRST NCA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193616000000",
"number": "1871571976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W SEVENTH ST",
"address_2": "SUITE D",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014507",
"telephone_number": "301-694-5154",
"fax_number": "301-694-5205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W SEVENTH ST",
"address_2": "SUITE D",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217014507",
"telephone_number": "301-694-5154",
"fax_number": "301-694-5205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEONARD SURGICAL CARE ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-09",
"last_updated": "2007-10-29",
"status": "A",
"authorized_official_last_name": "LEONARD",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "JOHNSON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-694-5154",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MD",
"license": "D63740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST OF MD",
"identifier": "649360-01",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE NET, PPO",
"identifier": "2153974",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5680032",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM CHOICE",
"identifier": "2153974",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD IPA",
"identifier": "2153974",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST NCA",
"identifier": "N109-0001",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.