Provider Demographics
NPI:1316947740
Name:GINSBURG, LEONARD H (MD)
Entity type:Individual
Prefix:DR
First Name:LEONARD
Middle Name:H
Last Name:GINSBURG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 W SPROUL ROAD
Mailing Address - Street 2:HEALTHPLEX PAVILION II - SUITE 100
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-2033
Mailing Address - Country:US
Mailing Address - Phone:610-690-4900
Mailing Address - Fax:610-690-4910
Practice Address - Street 1:100 W SPROUL ROAD
Practice Address - Street 2:HEALTHPLEX PAVILION II - SUITE 100
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064
Practice Address - Country:US
Practice Address - Phone:610-690-4900
Practice Address - Fax:610-690-1659
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041611L174400000X, 207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012219820010Medicaid
PA0012219820010Medicaid
PA624229Medicare PIN