LEONARDO C. PROFENNA MD – NPI #1801880869
Preventive Medicine

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

LEONARDO PROFENNA is a physician located in FLORESVILLE, TX. NPPES has assigned the NPI number 1801880869 to LEONARDO PROFENNA on September 07, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083P0011X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Undersea and Hyperbaric Medicine

The NPI profile was previously updated about 4 years ago on May 10, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEONARDO PROFENNA below.

NPI Profile for
LEONARDO C. PROFENNA

NPI Number
1801880869
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
LEONARDO C. PROFENNA
Credentials
MD
Primary location
497 10TH ST. STE 104
FLORESVILLE, TX 78114
Phone: (830) 393-1400 Fax: (830) 393-1737
Mailing address
497 10TH ST STE 104
FLORESVILLE, TX 78114-3178
Phone: (830) 393-1730 Fax: (830) 393-1739
Sole Proprietor
No
Updated
Certification Date
May 10, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083P0011X
- Preventive Medicine / Undersea and Hyperbaric Medicine (Primary)
TX P2157
2083A0100X
- Preventive Medicine / Aerospace Medicine
TX P2157

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LEONARDO PROFENNA is affiliated with the following medical group(s):
  • HOSPITAL
    • CONNALLY MEMORIAL MEDICAL CENTER
      499 10TH STREET
      FLORESVILLE, TX 78114

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