JORGE A LEON


Address: 166 4th St E, Saint Paul, MN 55101
Phone: 6512922043

JORGE A LEON (NPI# 1013996065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013996065
Entity Type Individual
Full Name JORGE A LEON
Credential MD
Practice Address 166 4th St E
Saint Paul
MN 55101
Mailing Address 166 4th St E
Saint Paul
MN 55101-1421
Practice Telephone 6512922043
Practice Fax Number 6512922204
Mailing Telephone 6512922043
Mailing Fax Number 6512922204
Enumeration Date 2006-01-10
Last Update Date 2018-08-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
40303 MN Allopathic & Osteopathic Physicians
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
40303 MN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MN 798723400 05

Office Location

Street Address 166 4TH ST E
City SAINT PAUL
State MN
Zip Code 55101

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558367789 Richard N. Aizpuru Radiology 166 4th St E, Saint Paul, MN 55101-1421 2005-06-22
1982115754 Erin Kaslow Social Worker 166 4th St E, Saint Paul, MN 55101-1421 2017-10-19
1518477454 Sarah Jean Boehne Social Worker 166 4th St E, Saint Paul, MN 55101-1421 2017-10-05
1861934788 South Metro Human Services-act Purple Case Management 166 4th St E, Suite 200, Saint Paul, MN 55101-1421 2016-11-09
1952843864 South Metro Human Services-act Blue Case Management 166 4th St E, Suite 200, Saint Paul, MN 55101-1421 2016-11-09
1023560257 Cheryl Bertsch Pharmacist 166 4th St E, Saint Paul, MN 55101-1421 2016-11-04
1912365669 Tracy Jost Nurse Practitioner 166 4th St E, Saint Paul, MN 55101-1421 2016-02-09
1255708780 United Family Practice Health Center Family Medicine 166 4th St E, Saint Paul, MN 55101-1421 2015-09-01
1952778656 Laura Lynett Counselor 166 4th St E, Saint Paul, MN 55101-1421 2015-08-28
1558785311 Megan Elgethun Radiology 166 4th St E, Saint Paul, MN 55101-1421 2014-02-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508480427 El Solutions LLC Clinic/Center 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 2020-06-05
1689211443 Siripa Min Nurse Anesthetist, Certified Registered 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 2019-11-28
1922590488 Diane Mcleod Physician Assistant Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 2018-05-31
1699284919 Eric Mcgillis Emergency Medicine Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 2017-09-29
1073051751 Hannah Elizabeth Rosenthal Danielson Physician Assistant 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 2017-02-02
1992182323 Theresa Annette Cashdollar-powell Social Worker 640 Jackson, St Paul, MN 55101 2015-05-06
1770986101 Margaret Augusta Cutter Physician Assistant 200 Univeristy Ave E, Saint Paul, MN 55101 2014-09-30
1851641419 Lisa Rae Caturia Occupational Therapy Assistant 640 Jackson St, 8th Floor, St Paul, MN 55101 2012-09-11
1558619478 Rph On The Go Community/Behavioral Health 172 E 6th Street, 704, Saint Paul, MN 55101 2012-08-27
1184994212 Duyen Truong Pharmacist 604 Jackson Street, St. Paul, MN 55101 2012-01-05
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043338171 Medical Imaging North Pa Radiology 2900 E Beltline, Hibbing, MN 55746-4504 2007-03-27
1922560747 Paige Johnson Radiology 200 1st St Sw, Rochester, MN 55905-0001 2019-04-01
1982136511 Forrest Brian Linch Radiology 200 1st St Sw, Rochester, MN 55905-0001 2017-04-02
1629457502 Scott Michael Thompson Radiology 200 1st St Sw, Rochester, MN 55905 2015-05-25
1710364906 Jidi Gao Radiology 200 1st St Sw, Rochester, MN 55905-0001 2015-04-27
1205222700 Francisco Javier Grippi Figueredo Radiology 200 1st St Sw, Rochester, MN 55905-0001 2015-04-10
1255776126 Kent Andrew Cabatingan Radiology 2525 Chicago Ave, Minneapolis, MN 55404-4518 2013-05-06
1619310612 Richard Gyasi Frimpong Radiology 200 1st St Sw, Rochester, MN 55905 2013-04-10
1730422429 Alexander Aris Covington Radiology 1300 Anne St Nw, Bemidji, MN 56601-5103 2013-04-01
1528389574 Shamar Justin Young Radiology 500 Harvard St Se, Minneapolis, MN 55455-0363 2010-06-14
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Competitor

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City SAINT PAUL
Zip Code 55101

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Dataset Information

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.

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