MR. LEONARDO LEONOR LEONIDAS (NPI# 1710915111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710915111 |
| Entity Type | Individual |
| Full Name | MR. LEONARDO LEONOR LEONIDAS |
| Credential | MD |
| Practice Address |
700 Mt Hope Ave Ste 640 Bangor ME 04401 |
| Practice Telephone | 2079476739 |
| Practice Fax Number | 2079423554 |
| Mailing Telephone | 2079476739 |
| Mailing Fax Number | 2079423554 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 007119 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM | 000037M | 01 |
| ME | CIGNA | M7640C | 01 |
| ME | AETNA | 1042254 | 01 |
| Street Address |
700 MT HOPE AVE STE 640 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841281128 | Mabel Wadsworth Women's Health Center | Nurse Practitioner | 700 Mt Hope Ave, Suite 420, Bangor, ME 04401 | 2005-11-04 |
| 1154523785 | United Cerebral Palsy of Northeastern Maine | Case Management | 700 Mt Hope Ave, Suite 320, Bangor, ME 04401-5680 | 2007-06-05 |
| 1467654830 | United Cerebral Palsy of Northeastern Maine | Community/Behavioral Health | 700 Mt Hope Ave, Suite 320, Bangor, ME 04401-5680 | 2007-06-05 |
| 1447452362 | Claire E Donovan | Physical Therapist | 700 Mt Hope Ave, Suite 320, Bangor, ME 04401-5680 | 2007-06-04 |
| 1235331166 | Jennifer Lynn Wilson | Occupational Therapy Assistant | 700 Mt Hope Ave, Suite 320, Bangor, ME 04401-5680 | 2007-06-04 |
| 1083787360 | Sally Rose Weiss | Psychiatry & Neurology | 700 Mt Hope Ave, Suite 600, Bangor, ME 04401-5600 | 2006-11-16 |
| 1639195803 | Melissa R Berky | Obstetrics & Gynecology | 700 Mt Hope Ave, Suite 420, Bangor, ME 04401 | 2006-07-14 |
| 1669402129 | Charles S Burger | Family Medicine | 700 Mt Hope Ave, Suite 650 Norumbega Evergreen Woods, Bangor, ME 04401-5691 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346465721 | Mary Ellen Defranco | Pediatrics | 316 Washington Blvd, Bangor, PA 18013-2700 | 2007-04-13 |
| 1083781264 | Shannon M Marchegiani | Pediatrics | Nicu Professional Services, Kelley 6, 489 State Street, Bangor, ME 04401 | 2006-11-30 |
| 1699768291 | Maggy Lespinasse | Pediatrics | 1068 Union St, Bangor, ME 04401-3016 | 2005-08-30 |
| 1033641386 | Kate Alina Hentschel | Pediatrics | 133 Corporate Dr, Bangor, ME 04401-4312 | 2017-03-28 |
| 1245650605 | Aimee Jordan Beaton | Pediatrics | 6 Telcom Dr, Bangor, ME 04401-3072 | 2014-04-23 |
| 1598108755 | Daria Leigh Thompson | Pediatrics | 489 State St, Bangor, ME 04401-6616 | 2013-04-08 |
| 1326281817 | Brooke B Surran | Pediatrics | 133 Corporate Dr, 1st Floor, Bangor, ME 04401-4312 | 2009-04-13 |
| 1093957516 | Annie Eisinger Powers | Pediatrics | 133 Corporate Dr, Bangor, ME 04401-4312 | 2009-03-30 |
| 1700025624 | Ellen F. Lauer | Pediatrics | 6 Telcom Dr, Bangor, ME 04401-3072 | 2009-02-17 |
| 1023270980 | Chelsea Jean Swandal | Pediatrics | 133 Corporate Dr, Bangor, ME 04401-4312 | 2008-07-01 |
| Find all providers in BANGOR | ||||
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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.