Provider Demographics
NPI:1346225869
Name:AMPER, LEONARDO S (MD)
Entity Type:Individual
Prefix:
First Name:LEONARDO
Middle Name:S
Last Name:AMPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:321 MAIN ST STE 3D
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15901-1632
Mailing Address - Country:US
Mailing Address - Phone:814-535-7576
Mailing Address - Fax:815-536-1369
Practice Address - Street 1:1 TECH PARK DR STE 1150
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-2515
Practice Address - Country:US
Practice Address - Phone:814-475-8700
Practice Address - Fax:814-475-8797
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2019-12-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD059909L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016045260008Medicaid
PA0016045260008Medicaid
890506TN3Medicare PIN
PA086951Medicare PIN