Leslie Hartley Gise, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

8006 Issued in HI

Practice address

121 Mahalani St
Wailuku, HI 96793-2528

Phone

(808) 984-2150

Fax

(808) 984-2155

NPI assigned

Jul 15, 2005

Last updated

Aug 26, 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

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 Medicine

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.

• State of Hawaii, Department of Health

  • Community/Behavioral Health Agency
  • Honolulu, HI
  • NPI 1306062690
  Medicare reassignment NPD
• State of Hawaii Department of Health

  dba Maui Community Mental Health Center-Wailuku

  • Community/Behavioral Health Agency
  • Wailuku, HI
  • NPI 1295918183
  NPD
• State of Hawaii Department of Health

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1558223784
  NPD

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1245239946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932528",
            "telephone_number": "808-984-2150",
            "fax_number": "808-984-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932528",
            "telephone_number": "808-984-2150",
            "fax_number": "808-984-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISE",
        "first_name": "LESLIE",
        "middle_name": "HARTLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "8006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "C00054-1",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim E. T. Ginoza, OD
• William Gintling, M.D.
• Todd Girard, DMD
• Scott Girardelli
• Giron Corporation
• Raymond M. Glauser, OD
• Glenn Family Medicine, LLC
• Bradley Holman Glenn, MD
• Travis Wagner Glenn, MD
• Kyra R Glover, OTR/L

• Psychiatry Physician in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.