SOPHIA V. LEONIDA, MD PC (NPI# 1508241076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508241076 |
| Entity Type | Organization |
| Organization Name | SOPHIA V. LEONIDA, MD PC |
| Other Organization Name | STATIONHOUSE PEDIATRICS |
| Practice Address |
2228 Black Rock Tpke Suite 211 Fairfield CT 06825-3237 |
| Practice Telephone | 2033759350 |
| Practice Fax Number | 2033758013 |
| Mailing Telephone | 2033759350 |
| Mailing Fax Number | 2033758013 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |
| Authorized Official Name | MS. SUSAN MELITO (OFFICE MANAGER) |
| Authorized Official Telephone | 2033759350 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
070195 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004267383 | 05 |
| Other Name | Type Code |
|---|---|
| Stationhouse Pediatrics | Doing Business As Name - Organization |
| Street Address |
2228 BLACK ROCK TPKE SUITE 211 |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-3237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306840343 | Kevin Peter Mcgrath | Allergy & Immunology | 2228 Black Rock Tpke, Suite 308, Fairfield, CT 06825-3237 | 2005-06-08 |
| 1154685063 | Care of Fairfield LLC | In Home Supportive Care | 2228 Black Rock Tpke, Stillson Plaza, Suite 310, Fairfield, CT 06825-3237 | 2012-06-26 |
| 1861665184 | Hana J. Clements, M.d., LLC | Internal Medicine | 2228 Black Rock Tpke, Suite 208, Fairfield, CT 06825-3237 | 2008-04-08 |
| 1124296355 | David Garrell, M.d. LLC | Internal Medicine | 2228 Black Rock Tpke, Fairfield, CT 06825-3237 | 2008-02-11 |
| 1588684427 | Mark Jay Gang | Psychologist | 2228 Black Rock Tpke, Suite 310, Fairfield, CT 06825-3237 | 2006-07-21 |
| 1700821816 | Sophia V Leonida | Pediatrics | 2228 Black Rock Tpke, Suite 211, Fairfield, CT 06825-3237 | 2006-06-20 |
| 1740228410 | Ester Kirjner | Pediatrics | 2228 Black Rock Tpke, Suite 211, Fairfield, CT 06825-3237 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382792 | Jessca Morcone | Nurse Practitioner | 640 Brookside Dr, Fairfield, CT 06824-2419 | 2019-12-04 |
| 1013045277 | Judith Karen Adelstein | Nurse Practitioner | 189 Veres St, Fairfield, CT 06824-6447 | 2007-03-01 |
| 1619975661 | Jane C Dellert | Nurse Practitioner | 25 Hollywood Ave, Fairfield, NJ 07004-1113 | 2005-07-13 |
| 1790037448 | Breehan Rumpke | Nurse Practitioner | 5900 Boymel Dr, Fairfield, OH 45014-5526 | 2012-10-04 |
| 1790083194 | Christine Paula Brown | Nurse Practitioner | 5900 Boymel Dr, Fairfield, OH 45014-5526 | 2011-03-09 |
| 1164729059 | Deborah Miller Sylvestro | Nurse Practitioner | 5151 Park Ave, Fairfield, CT 06825-1090 | 2011-02-11 |
| 1669698437 | Janice Brooker | Nurse Practitioner | 5502 Dixie Hwy, Fairfield, OH 45014-4297 | 2007-04-18 |
| 1205803376 | Martha Seehausen Kane | Nurse Practitioner | 3050 Mack Rd, Fairfield, OH 45014-5379 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878855 | Ashley Elusma | Nurse Practitioner | 92 New London Tpke # 1, Norwich, CT 06360-2616 | 2020-07-13 |
| 1790337137 | Elizabeth R Renker | Nurse Practitioner | 97 Barnes Rd Ste 6, Wallingford, CT 06492-1885 | 2019-07-16 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1487180840 | Meghan Mccarthy Warzoha | Nurse Practitioner | 2001 W Main St Ste 132, Stamford, CT 06902-4544 | 2017-05-04 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1740602515 | Smart Start Pediatrics | Nurse Practitioner | 27 Sycamore St., Suite 300, Glastonbury, CT 06033 | 2014-01-14 |
| 1780013102 | Elizabeth Anavy | Nurse Practitioner | 195 Hillandale Ave, Stamford, CT 06902-2823 | 2013-11-06 |
| 1174951669 | Bela Kirit Dharia | Nurse Practitioner | 55 Lock Street, Yale Health, New Haven, CT 06511-3603 | 2013-10-22 |
| 1679908925 | Christine M Turcotte | Nurse Practitioner | 21b Liberty Dr, Hebron, CT 06248 | 2013-09-05 |
| Find all providers with the same taxonomy | ||||
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| 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.