Leslie K Wiscombe, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33655 Issued in MO

Practice address

10000 E 66TH Ter
Raytown, MO 64133-5251

Phone

(816) 737-1037

Fax

(816) 737-0477

NPI assigned

Sep 7, 2005

Last updated

Jul 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Mercy Clinic Springfield Communities

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1245277631
  Medicare reassignment NPD
• Waldo Wellness Group PC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1972761187
  Medicare reassignment NPD
• KC Spine Care LLC

  • Chiropractor
  • Kansas City, MO
  • NPI 1689016545
  NPD (past)
• Research Family Physicians LLC

  • Family Medicine Physician
  • Raytown, MO
  • NPI 1417904004
  NPD (past)
• State Line Medical Group LLC

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1679529853
  NPD (past)
• Waldo Medical LLC

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1740623396
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247788800000",
    "number": "1235123126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 E 66TH TER",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335251",
            "telephone_number": "816-737-1037",
            "fax_number": "816-737-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 E 66TH TER",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641335251",
            "telephone_number": "816-737-1037",
            "fax_number": "816-737-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISCOMBE",
        "first_name": "LESLIE",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2009-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "33655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001310E",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240345017",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235123126",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001310F",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001310D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Taylor Williamson, PTA
• Shirley Ann Williamson
• Nakia Danine Wilson, MSW, LCSW, LSCSW,RPT
• Richard C Wilson, OD
• Sierra Wilson, DDS
• Michael Woodhead, DMD
• Wound Ostomy Leg & Foot Care Clinic and Spa LLC
• Sarah Ann Wright
• Xtracare Adult Day Care Center, LLC.
• Xtracomfort Home Health Agency, LLC

• Family Medicine Physician in Raytown, MO
• Providers in Raytown, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.