Organization Active NPI

Leonardo T Que MD Inc

  • Cardiovascular Disease Physician
  • Port Clinton, OH
National Provider Identifier
1902931504
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35-05-0504 Issued in OH
Legal business name
LEONARDO T QUE MD INC
Practice address
602 E 6TH St
Suite D
Port Clinton, OH 43452-2065
Phone
(419) 734-4539
Fax
(419) 734-6365
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leonardo T Que, M.D.NPI 1356346258
Title
Office
Phone
(419) 734-4539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 35-05-0504 OH Primary

Addresses

Primary practice location

602 E 6TH St
Suite D
Port Clinton, OH 43452-2065

Mailing address

602 E 6TH St
Suite D
Port Clinton, OH 43452-2065
Phone (419) 734-4539

National Provider Directory

National Provider Directory

Locations

602 E 6th St
Ste D
Port Clinton, OH 43452
Phone (419) 734-4539

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902931504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E 6TH ST",
            "address_2": "SUITE D",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522065",
            "telephone_number": "419-734-4539",
            "fax_number": "419-734-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E 6TH ST",
            "address_2": "SUITE D",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522065",
            "telephone_number": "419-734-4539",
            "fax_number": "419-734-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARDO T QUE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUE",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OFFICE",
        "authorized_official_telephone_number": "419-734-4539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35-05-0504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Clinton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.