Active NPI 1023194859 Individual Practitioner Female Practitioner

Dr. Shirley N Leadem , MD

Pediatrics • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Dr. Shirley Leadem, MD is a registered healthcare professional specializing in Pediatrics in St Augustine, FL. Practice services are available at 1740 TREE BOULEVARD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1740 Tree Boulevard
Suite 112

St Augustine, FL 320845774

Telephone 9048296591

Fax 9048248856

Associated Practice Facility / Clinic

🏢 Drs Paul And Shirley Leadem Pa Inc Facility NPI 1538246863

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in St Augustine, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 22.2 Yrs

Regional Practice Density

17 Specialists

Practicing in St Augustine, FL (4160 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME88076

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

267624900 (FL)

Commercial Insurance / Payer ID Aetna

4049277 (FL)

Commercial Insurance / Payer ID Bc/bs

377712 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Paul Leadem , MD

Pediatrics

NPI 1184715658

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 20, 2015

Registered at 1740 TREE BOULEVARD, SUITE 112, ST AUGUSTINE, FL 320845774 (Tel: 9048296591)

📍

Updated Business Mailing Address May 20, 2015

Registered at 1740 TREE BOULEVARD, SUITE 112, ST AUGUSTINE, FL 320845774 (Tel: 9048296591)

👤

Provider Name / Credentials Updated May 20, 2015

Recorded as SHIRLEY LEADEM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2015

Pediatrics (License #ME88076 in FL)

🟢

Initial NPI Registration & Enumeration October 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023194859

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 27, 2006

Last Update: May 20, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1740 Tree Boulevard, Suite 112

St Augustine, FL 320845774

Phone: 9048296591

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.