| Dr Thomas Keller Leonard, MD | |
|
600 E Dixie Ave, Leesburg, FL 34748-5925 | |
| (352) 323-5762 | |
| Not Available |
| Full Name | Dr Thomas Keller Leonard |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 600 E Dixie Ave, Leesburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740223676 | NPI | - | NPPES |
| 279940500 | Medicaid | FL | |
| 252590900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME73798 (Florida) | Primary |
| Entity Name | Paragon Contracting Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20041207001148 |
| Entity Name | Paragon Emergency Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
| Entity Name | Leesburg Regional Medical Center Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104063114 PECOS PAC ID: 8426107327 Enrollment ID: O20090526000395 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Thomas Keller Leonard, MD 3114 Croasdaile Dr, Suite 200, Durham, NC 27705-2508 Ph: (919) 425-1565 | Dr Thomas Keller Leonard, MD 600 E Dixie Ave, Leesburg, FL 34748-5925 Ph: (352) 323-5762 |
Dr. Dana N Cowles, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5200 | |
Marius Alexander, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Waroot Shay Nimjareansuk, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Medical Plaza Dr, Leesburg, FL 34748 Phone: 352-273-7002 Fax: 352-273-7388 | |
Dr. Erik St. Pierre, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Christopher Neil Rodgers, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 919-425-1565 | |
Mr. Ilyas Gutale, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 352-323-5762 | |
Dr. Edgardo J Riverarivera, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 600 E Dixie Ave, Leesburg, FL 34748 Phone: 919-425-1565 |