Dina Rea De Leon, MD, MPH
Individual provider Active NPI Pediatrics Physician · Elkton, MD
NPI 1912945312 · NPPES record last updated Sep 4, 2014
Key facts
- NPI
- 1912945312
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- D0060808 (MD)
- Practice address
- 215 North St Ste a
Elkton, MD 21921-5505 - Phone
- (410) 398-8899
- Fax
- (410) 398-1477
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0060808 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Care for Children,LLC | Pediatrics | Past | Accepting new patients |
| Health Care for Women P.a. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0060808 | MD | Yes |
Addresses
Primary practice location
215 North St Ste a
Elkton, MD 21921-5505
Mailing address
215 North St Ste a
Elkton, MD 21921-5505
Phone (410) 398-8899
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 404426600 | Medicaid | MD |
Other providers in Elkton, MD
- Annan Damen
- David V. Martini, M.D. P.a.
- Allen Davies
- Emily Renee Davies
- Regan Lynn Day
- Brian Charles De Muth
- Heather Deaver
- Jonathan Decarlo
- Claire Decker
- Delaware Cardiovascular Associates, P.a.
All providers in Elkton, MD · Pediatrics Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.