| Leonardo Girio-herrera, D.o., L.l.c. | |
|
520 Upper Chesapeake Dr 312 Bel Air MD 21014-4339 | |
| (443) 643-2236 | |
| (443) 643-1545 |
| Full Name | Leonardo Girio-herrera, D.o., L.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 520 Upper Chesapeake Dr, Bel Air, Maryland |
| Authorized Official Name and Position | Leonardo Girio-herrera (OWNER) |
| Authorized Official Contact | 4103350008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leonardo Girio-herrera, D.o., L.l.c. 10845 Philadelphia Rd White Marsh MD 21162-1717 Ph: (410) 335-0008 | Leonardo Girio-herrera, D.o., L.l.c. 520 Upper Chesapeake Dr 312 Bel Air MD 21014-4339 Ph: (443) 643-2236 |
| NPI Number | 1427435692 |
|---|---|
| Provider Enumeration Date | 04/27/2015 |
| Last Update Date | 02/12/2016 |
| Medicare PECOS PAC ID | 6709107139 |
|---|---|
| Medicare Enrollment ID | O20150610000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427435692 | NPI | - | NPPES |
| 414106 | Other | MD | MEDICARE |
| BX93 | Other | MD | CAREFIRST |
| BX93 | Other | DC | CAREFIRST |
| DV8721 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Leonardo Girio-herrera |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982836904 PECOS PAC ID: 5193994036 Enrollment ID: I20150610001015 |
| Provider Name | Barbara L Donithan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346609161 PECOS PAC ID: 6709185119 Enrollment ID: I20160505001008 |
| Provider Name | Jessica A Scampone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326536418 PECOS PAC ID: 5698022101 Enrollment ID: I20180716000299 |
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