Individual provider Active NPI

Leslie D Thomas, CNP

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1164616421
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-09543 Issued in OH
Practice address
3334 Agler Road
Suite 2800
Columbus, OH 43219-3387
Phone
(614) 645-1600
Fax
(614) 645-1348
NPI assigned
Aug 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-09543 OH Primary

Addresses

Primary practice location

3334 Agler Road
Suite 2800
Columbus, OH 43219-3387

Mailing address

P.O. Box 16370
Columbus, OH 43216-6370
Phone (614) 645-5500

Other identifiers 1

IdentifierTypeStateIssuer
2843856MedicaidOH

Other names 1

  • Leslie D McGuire Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080220000292 OH Practitioner - Nurse Practitioner 7113017989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 557-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-09543OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Firelands Regional Medical Center Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

292 Benedict Ave
Norwalk, OH 44857
Phone (419) 663-3737

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

1925 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-5177

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1164616421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 16370",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432166370",
            "telephone_number": "614-645-5500",
            "fax_number": "614-645-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 AGLER ROAD",
            "address_2": "SUITE 2800",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193387",
            "telephone_number": "614-645-1600",
            "fax_number": "614-645-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LESLIE",
        "middle_name": "D",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP-09543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2843856",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "MCGUIRE",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.