Active NPI
Leslie D Hedges, PA-C
- Medical Physician Assistant
- Hutchinson, KS
National Provider Identifier
1033175021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 15-00767
- Practice address
- 210 E 30TH Ave
Suite 110
Hutchinson, KS 67502-2475 - Phone
- (620) 663-8200
- Fax
- (620) 663-8201
- NPI assigned
- Apr 26, 2006
- Last updated
- Oct 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 15-00767 | KS | Primary |
Addresses
Primary practice location
210 E 30TH Ave
Suite 110
Hutchinson, KS 67502-2475
Mailing address
210 E 30TH Ave
Suite 110
Hutchinson, KS 67502-2475
Phone (620) 663-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-00767 | KS | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Preferred Medical Associates | Past | Accepting new patients | |
| Preferred Medical Associates | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Wichita, KS
- NPI 1417904194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1033175021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E 30TH AVE",
"address_2": "SUITE 110",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675022475",
"telephone_number": "620-663-8200",
"fax_number": "620-663-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E 30TH AVE",
"address_2": "SUITE 110",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675022475",
"telephone_number": "620-663-8200",
"fax_number": "620-663-8201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDGES",
"first_name": "LESLIE",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KS",
"license": "15-00767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hutchinson, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.