Individual provider Active NPI

Leo Todd, PHD.,D.O.

  • Family Medicine Physician
  • Allentown, PA
National Provider Identifier
1902843162
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS004177L Issued in PA
Practice address
2428 Walbert Avenue
Allentown, PA 18104-1398
Phone
(610) 437-3934
Fax
(610) 437-5180
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS004177L PA Primary

Addresses

Primary practice location

2428 Walbert Avenue
Allentown, PA 18104-1398

Mailing address

2428 Walbert Ave
Allentown, PA 18104-1350
Phone (610) 437-3934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100609000754 PA Practitioner - Family Practice 3072643550 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Dec 6, 2010 Accepting new patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
St. Luke'S Physician Group Inc. Family Medicine CurrentSince Dec 6, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
DRS. Leo W.Todd, Jr. & Gregory S. Todd Family Medicine PastSince Jan 1, 2002 Accepting new patients

Locations

2428 Walbert Ave
Allentown, PA 18104
Phone (610) 432-3183

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1902843162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 WALBERT AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041350",
            "telephone_number": "610-437-3934",
            "fax_number": "610-437-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 WALBERT AVENUE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181041398",
            "telephone_number": "610-437-3934",
            "fax_number": "610-437-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "LEO",
        "credential": "PHD.,D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS004177L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.