Provider Demographics
NPI:1538270269
Name:FERREIRA, LEONARD AUBREY (MD)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:AUBREY
Last Name:FERREIRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 W OAK ST
Mailing Address - Street 2:
Mailing Address - City:TITUSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16354-1404
Mailing Address - Country:US
Mailing Address - Phone:814-827-4864
Mailing Address - Fax:814-827-4869
Practice Address - Street 1:406 W OAK ST
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16354-1404
Practice Address - Country:US
Practice Address - Phone:814-827-4864
Practice Address - Fax:814-827-4869
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA044541L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000678674OtherHIGHMARK
PA104193OtherUPMC
PA1007485420005Medicaid
PA1007485420005Medicaid
PA1007485420005Medicaid