Active NPI
A V de Leon Jr.,M.D.P.C.
- Pulmonary Disease Physician
- Mount Clemens, MI
National Provider Identifier
1871854232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 4301037234
- Legal business name
- A V DE LEON JR.,M.D.P.C.
- Practice address
- 215 North Ave
Mount Clemens, MI 48043-1716 - Phone
- (586) 465-1329
- Fax
- (586) 465-0730
- NPI assigned
- Jun 1, 2012
- 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. Arsenio Deleon, MD
- Title
- President
- Phone
- (586) 465-1329
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 4301037234 | MI | Primary |
Addresses
Primary practice location
215 North Ave
Mount Clemens, MI 48043-1716
Mailing address
215 North Ave
Mount Clemens, MI 48043-1716
Phone (586) 465-1329
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1338508800000",
"number": "1871854232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 NORTH AVE",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480431716",
"telephone_number": "586-465-1329",
"fax_number": "586-465-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 NORTH AVE",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480431716",
"telephone_number": "586-465-1329",
"fax_number": "586-465-0730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A V DE LEON JR.,M.D.P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-01",
"last_updated": "2012-06-01",
"status": "A",
"authorized_official_last_name": "DELEON",
"authorized_official_first_name": "ARSENIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "586-465-1329",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "4301037234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.