Individual
ETHAN G LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
(216) 286-6341
Mailing address
24701 EUCLID AVE, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
0101286480
VA
2080P0208X
Pediatric Infectious Diseases Physician
35-073411
OH
2080P0208X
Pediatric Infectious Diseases Physician
D0104390
MD
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD600004232
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000201121
ANTHEM
OH
01
—
000000221158
UNISON
OH
01
—
000000526042
ANTHEM
OH
01
—
1018230890001
PA MEDICAID
PA
01
—
2130965
BCMH
OH
05
—
2130965
—
OH
01
—
363758
WELLCARE
OH
01
—
5629713
AETNA
OH
01
—
745934
BUCKEYE
OH
01
—
P00122025
RAILROAD MEDICARE
OH
Enumeration date
07/20/2006
Last updated
08/06/2025
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