DR. AGUSTIN LEGIDO (NPI# 1477626141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477626141 |
| Entity Type | Individual |
| Full Name | DR. AGUSTIN LEGIDO |
| Credential | M.D., PH.D. |
| Practice Address |
Erie Aenue Front Street Philadelphia PA 19134 |
| Mailing Address |
9003 Buttonwood Pl Philadelphia PA 19128-1056 |
| Practice Telephone | 2154275452 |
| Practice Fax Number | 2154274393 |
| Mailing Telephone | 2154828307 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2013-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
MD040350L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0012056390008 | 05 |
| Street Address |
ERIE AENUE FRONT STREET |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871137208 | My Philadelphia Pharmacy Inc | Pharmacy | 2901 E Thompson St, Front Store, Philadelphia, PA 19134 | 2019-10-29 |
| 1588125793 | Bret Johnson | Student in an Organized Health Care Education/Training Program | Pediatric Residency Program, 160 East Erie Ave, Philadelphia, PA 19134 | 2019-03-29 |
| 1053881672 | Ana Y Almanzar | Psychologist | 3513 North Water Street, Philadelphia, PA 19134 | 2018-11-27 |
| 1861974206 | Stephanie C Curtis | Registered Nurse | St. Christopher's Hospital for Children 160 E Erie Ave, Philadelphia, PA 19134 | 2018-09-01 |
| 1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
| 1700370178 | Natalie Martinez | Case Manager/Care Coordinator | 3528 I St Ste 1, Philadelphia, PA 19134 | 2018-06-19 |
| 1205352309 | Personal Injury Clinic PC | Chiropractor | 2301 E Allegheny Ave Ste 305a, Philadelphia, PA 19134 | 2017-08-21 |
| 1306376280 | Port Richmond Counseling Practices | Clinic/Center | 3110 Aramingo Ave, Suite 1, Philadelphia, PA 19134 | 2017-06-14 |
| 1760864441 | Jason Roy Toews | Pediatrics | 160 East Eire Ave, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2015-06-18 |
| 1376933291 | David Tanney Yusavitz | Nurse Practitioner | 160 E Erie Ave Ste 2015, Philadelphia, PA 19134 | 2015-01-30 |
| Find all providers in zip 19134 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1548554082 | Sonika Agarwal | Psychiatry & Neurology | Buerger Center, 3500 Civic Center Blvd., Philadelphia, PA 19104 | 2011-06-01 |
| 1326369851 | Ilya Khaytin | Psychiatry & Neurology | 34st and Civic Center, Chop, Philadelphia, PA 19104 | 2010-06-18 |
| 1780621466 | Harold Huntley Hardison | Psychiatry & Neurology | St. Christopher's Pediatric Neurology, 3601 A Street, Philadelphia, PA 19134-1095 | 2006-06-01 |
| 1306490040 | Gillian Rae Paton | Psychiatry & Neurology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2019-07-31 |
| 1992234611 | Usha Appalaneni | Psychiatry & Neurology | 3401 Civic Center Blvd, Division of Neurology, Philadelphia, PA 19104-4319 | 2017-06-06 |
| 1174910558 | Sonal Sharma | Psychiatry & Neurology | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2015-04-23 |
| 1538553193 | Amanda Guadalupe Sandoval Karamian | Psychiatry & Neurology | 3401 Civic Center Blvd, Division of Pediatric Epilepsy, Philadelphia, PA 19104-4319 | 2015-03-22 |
| 1215321864 | Caren Marr Armstrong | Psychiatry & Neurology | 3401 Civic Center Blvd, Division of (pediatric Epilepsy), Philadelphia, PA 19104 | 2015-03-21 |
| 1558708800 | Ernesto Gonzalez-giraldo | Psychiatry & Neurology | 3401 Civic Center Blvd, Division of Pediatric Neurology, Philadelphia, PW 19104 | 2013-05-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19134 |
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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.