Leslie Weylon Panus, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD27541 Issued in TN

Practice address

107 Woodlawn Dr
Johnson City, TN 37604-5978

Phone

(423) 929-7168

Fax

(423) 928-9625

NPI assigned

Jun 8, 2005

Last updated

Dec 30, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: lesliepanus@etmapc.allscriptsdirect.net

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1063416089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WOODLAWN DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045978",
            "telephone_number": "423-929-7168",
            "fax_number": "423-928-9625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WOODLAWN DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045978",
            "telephone_number": "423-929-7168",
            "fax_number": "423-928-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANUS",
        "first_name": "LESLIE",
        "middle_name": "WEYLON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD27541",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TN",
            "license": "MD27541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3098628",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen H Palmer, APRN ANP
• Rebecca Kay Marie Palmer, LPN
• Pamela J. Costello, MD, PC
• Li Pang, MD
• Stephanie Panoncillo, AUD
• Salvatore Paolillo, M.D.
• Konstantinos Papas, MD
• Papillon Behavioral Health, LLC
• Nili M Parekh, MD
• John Parigger

• Nephrology Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Nephrology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.