Lesley Clark-Loeser, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME92842 Issued in FL

Practice address

3501 S University Dr
Suite 5
Davie, FL 33328-2001

Phone

(954) 998-0345

Fax

(954) 998-0344

NPI assigned

Oct 3, 2005

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 FL

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

Specialty

Dermatology

Education

George Washington University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Skin LLCGroup PAC ID 5991102154, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

47.01 of 100Reported as group

Quality

58.2

Promoting interoperability

0

Improvement activities

40

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Precision Skin LLC

  • Dermatology Physician
  • Davie, FL
  • NPI 1962002154
  Medicare reassignment Care Compare group NPD
• Norman Minars, MD, PA

  • Specialist
  • Hollywood, FL
  • NPI 1831186170
  NPD (past)

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1265429583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S UNIVERSITY DR",
            "address_2": "SUITE 5",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282001",
            "telephone_number": "954-998-0345",
            "fax_number": "954-998-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S UNIVERSITY DR",
            "address_2": "SUITE 5",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333282001",
            "telephone_number": "954-998-0345",
            "fax_number": "954-998-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK-LOESER",
        "first_name": "LESLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME92842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC & BS OF FLORIDA",
            "identifier": "28636",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Noel Cipperly, OD
• Elana Cirulnick, LCSW
• Ira Cirulnick, D.C.
• Citi-MD Urgent Care
• Clarity PTH LLC
• Alexia Sydney Clark, OD
• Cherelle Clark
• Bernice Clarke
• Kellisia Clarke
• Alain Claudio

• Specialist in Davie, FL
• Providers in Davie, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.