DR. RANDOLFO DE LEON (NPI# 1356483663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356483663 |
Entity Type | Individual |
Full Name | DR. RANDOLFO DE LEON |
Credential | M.D. |
Practice Address |
1600 1st St E Independence IA 50644-3155 |
Mailing Address |
2195 Double L Dr Independence IA 50644-9658 |
Practice Telephone | 3193346071 |
Practice Fax Number | 3193346149 |
Mailing Telephone | 3193342310 |
Enumeration Date | 2007-02-13 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 20387 | IA | Allopathic & Osteopathic Physicians |
Street Address |
1600 1ST ST E |
City | INDEPENDENCE |
State | IA |
Zip Code | 50644-3155 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609811892 | Ryan Pharmacy Inc | Pharmacy | 1600 1st St E, Independence, IA 50644-3155 | 2006-06-19 |
1518417518 | People's Memorial Hospital | Family Medicine | 1600 1st St E, Independence, IA 50644-3155 | 2016-10-13 |
1700161049 | Northland Hearing Centers, Inc. | Audiologist-Hearing Aid Fitter | 1600 1st St E, Independence, IA 50644-3155 | 2011-10-19 |
1477877108 | Renal Treatment Centers Illinois Inc | Clinic/Center | 1600 1st St E, Independence, IA 50644-3155 | 2010-03-24 |
1316274368 | Maxine K Kehret | Dietitian, Registered | 1600 1st St E, Independence, IA 50644-3155 | 2009-11-12 |
1821222126 | Total Renal Care Illinois Inc | Clinic/Center | 1600 1st St E, Independence, IA 50644-3155 | 2009-05-14 |
1780827535 | Cedar Valley Podiatry PC | Podiatrist | 1600 1st St E, Independence, IA 50644-3155 | 2009-04-09 |
1336281245 | People's Memorial Hospital | Emergency Medicine | 1600 1st St E, Independence, IA 50644-3155 | 2007-02-14 |
1427190321 | People's Memorial Hospital | General Acute Care Hospital | 1600 1st St E, Independence, IA 50644-3155 | 2007-02-14 |
1134262041 | People's Memorial Hospita | Nursing Facility/Intermediate Care Facility | 1600 1st St E, Independence, IA 50644-3155 | 2007-02-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205476959 | Diane Meyer | Occupational Therapist | 230 Swan Lake Blvd, Suite 103, Independence, IA 50644 | 2020-01-10 |
1538717988 | Kathy Ann Allsup | Technician | 2617 Quasqueton Diag Blvd. #4, Independence, IA 50644 | 2019-08-29 |
1619182219 | Robert Thomas Kingus | Optometrist | 1310 1st St West, Independence, IA 50644 | 2007-05-14 |
1477646966 | Matthew Patrick Fuelling | Chiropractor | 231 2nd Ave N.e., Independence, IA 50644 | 2006-10-02 |
1104889609 | Sharla Kaye Wall | Chiropractor | 701 2nd Ave Ne, Independence, IA 50644 | 2006-04-07 |
1174053821 | Megan Rose Trembly | Speech-Language Pathologist | 1610 3rd St Ne, Independence, IA 50644 | 2017-06-15 |
1710432786 | Lauren Oldag | Social Worker | 2300 Swan Lake Blvd Ste 102, Independence, IA 50644 | 2016-08-19 |
1255781068 | Bradley Boyle | Optometrist | 1310 1st St W, Independence, IA 50644 | 2016-06-13 |
1528372968 | Thomas William Magner | Counselor | 417 5th St Nw, Independence, IA 50644-1554 | 2010-07-27 |
1093019796 | Linda Lee Moore | Community Health Worker | 1717 3rd St. N.e., Independence, IA 50644-1717 | 2011-01-10 |
Find all providers in zip 50644 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609186204 | Outreach Professional Services, Inc. | Surgery | 4400 Rockside Road, Suite 2200, Independence, OH 44131 | 2010-10-15 |
1144348012 | Independence Surgical Clinic, Inc. | Surgery | 19550 East 39th Street S, Suite 325, Independence, MO 64057-2310 | 2007-03-27 |
1568440493 | Surgical Care of Independence, Inc | Surgery | 19101 E. Valley View Parkway, Suite B, Independence, MO 64055-6907 | 2005-12-30 |
1366428302 | Kelly Michael James | Surgery | 19101 E Valley View Pkwy, Suite B, Independence, MO 64055-6904 | 2005-12-21 |
1235122664 | Augusto Torres | Surgery | 4400 Rockside Rd, Suite 2200, Independence, OH 44131-2168 | 2005-08-31 |
1841531407 | Cjp Surgical LLC | Surgery | 19600 E 39th St S, Independence, MO 64057-2301 | 2013-03-07 |
1972820512 | Chelsea Rae Fisher | Surgery | 19101 E Valley View Pkwy, Ste B, Independence, MO 64055-6904 | 2010-04-21 |
1184956138 | Northeast Surgical Associates of Ohio Ltd | Surgery | 6100 Rockside Woods Blvd N, Suite 425, Independence, OH 44131-2366 | 2010-02-02 |
1669663571 | Mindi Suzanne Thompson Beahm | Surgery | 19550 E 39th St S, Suite 325 Centerpoint Med Bldg, Independence, MO 64057-2358 | 2007-08-06 |
1508087826 | Ali Farouk Mallat | Surgery | 6000 W Creek Rd, Suite 10, Independence, OH 44131-2182 | 2007-05-02 |
Find all providers in INDEPENDENCE |
City | INDEPENDENCE |
Zip Code | 50644 |
Please comment or provide details below to improve the information on DR. RANDOLFO DE LEON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.