Provider Demographics
NPI:1922111012
Name:HESS, LEONARD WAYNE (MD)
Entity Type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:WAYNE
Last Name:HESS
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 1:245 EVERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-1811
Mailing Address - Country:US
Mailing Address - Phone:412-228-9273
Mailing Address - Fax:
Practice Address - Street 1:245 EVERGREEN DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-1811
Practice Address - Country:US
Practice Address - Phone:412-228-9273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101028537207VM0101X
PAMD418335207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1922111012Medicaid
PA1922111012Medicaid
PA1922111012Medicaid
PA208718FLTMedicare PIN
PA016935C19Medicare PIN