DR. CRISTINA LEON (NPI# 1700149887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700149887 |
| Entity Type | Individual |
| Full Name | DR. CRISTINA LEON |
| Other Name | DR. EDA-CRISTINA LEON-ABUCHAIBE |
| Credential | D.O |
| Practice Address |
9927 W Gibson Jack Rd Pocatello ID 83204-4964 |
| Practice Telephone | 3052984486 |
| Mailing Telephone | 2082515247 |
| Mailing Fax Number | 2088207004 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2020-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | UO 2373 | FL | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
2013004665 | MO | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
97074931204 | UT | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
O-0914 | ID | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9927 W Gibson Jack Rd, Pocatello, ID 832044964 | 3052984486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058295 | Cristina Marcela Leon | Counselor | 692 Stanton Dr, Weston, FL 33326-3591 | 2018-03-25 |
| 1245753979 | Cristina Guadalupe Leon | Counselor | 800 N 1st St, San Jose, CA 95112 | 2017-07-25 |
| 1821405903 | Cristina Leon | Speech-Language Pathologist | 1601 Nw 12th Ave, #5066, Miami, FL 33136-1005 | 2014-07-21 |
| 1174952527 | Cristina Leon | Social Worker | 1901 Sw 1st St, 2nd Floor, Miami, FL 33135-1601 | 2013-11-06 |
| Street Address |
9927 W GIBSON JACK RD |
| City | POCATELLO |
| State | ID |
| Zip Code | 83204-4964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568974541 | Daniel Graham Rasmussen | Social Worker | 335 N. Main, Pocatello, ID 83204 | 2017-10-30 |
| 1801311246 | Thomas Henrie | Specialist/Technologist | 3960 Stockman Rd., Pocatello, ID 83204 | 2017-08-07 |
| 1750803110 | David Tim Williams | Counselor | 224 S. Arthur Suite 2, Pocatello, ID 83204 | 2017-07-07 |
| 1023441185 | Insight Occupational Therapy, LLC | Occupational Therapist | 158 N Main St., Pocatello, ID 83204 | 2013-08-13 |
| 1679816912 | A New Hope, LLC | Day Training, Developmentally Disabled Services | 19b Mountain Dr, Pocatello, ID 83204 | 2013-04-05 |
| 1790032431 | Wynnona Sarah Warren | Pharmacist | 911 North Main Street, Pocatello, ID 83204 | 2012-08-13 |
| 1902110380 | Belmont Management, Inc. | Intermediate Care Facility, Mentally Retarded | 6150 S. 5th Ave, Pocatello, ID 83204 | 2010-07-28 |
| 1104066539 | Rachel Ann Seibold | Speech-Language Pathologist | 1254 Swisher Rd, Pocatello, ID 83204 | 2009-02-25 |
| 1710163803 | Allen Bennett Martin | Clinic/Center | 540 South Garfield, Pocatello, ID 83204 | 2008-01-18 |
| 1174711758 | Rsm Pa Pllc | Physician Assistant | 1595 Bannock Hwy, Pocatello, ID 83204 | 2007-10-09 |
| Find all providers in zip 83204 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154783017 | University of Utah Pediatric Services | Pediatrics | 777 Hospital Way, Pocatello, ID 83201-5175 | 2016-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598383929 | Cristina Leon, Do Pa | Pediatrics | Idaho Falls Pediatrics, 3067 Eagle Dr, Ammon, ID 83406 | 2020-07-13 |
| 1245682509 | University of Utah Pediatric Services | Pediatrics | 98 Poplar St, Blackfoot, ID 83221-1758 | 2016-07-11 |
| 1346692605 | University of Utah Pediatric Services | Pediatrics | 450 E Main St, Rexburg, ID 83440-2048 | 2016-07-11 |
| 1285096149 | University of Utah Pediatric Services | Pediatrics | 2985 Cortez Ave, Idaho Falls, ID 83404-7554 | 2016-03-22 |
| 1386006245 | University of Utah Pediatric Services | Pediatrics | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2016-03-22 |
| 1982937058 | Gordon K Mack | Pediatrics | 100 E Idaho St, Suite 304, Boise, ID 83712-6267 | 2009-09-08 |
| 1891946778 | Jeremy Robert Nicolarsen | Pediatrics | 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 | 2008-10-09 |
| 1093933830 | Robert F Adams | Pediatrics | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2007-04-24 |
| 1528004702 | Diana C Alexander | Pediatrics | 190 E Bannock St, Boise, ID 83712-6241 | 2006-06-22 |
| 1760433601 | Eloisa S. Walker | Pediatrics | 100 E Idaho St, Suite 304, Boise, ID 83712-6223 | 2006-05-15 |
| 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.