Lesley La'Rone Combs, D.O.
Individual provider Active NPI Surgical Critical Care Physician · Jackson, MI
NPI 1285844191 · NPPES record last updated Oct 7, 2022
Key facts
- NPI
- 1285844191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Critical Care Physician 2086S0102X
- License
- 5101015764 (MI)
- Practice address
- 205 N East Ave
Jackson, MI 49201-1753 - Phone
- (517) 205-4800
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- Ohio Medical University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- W. a. Foote Memorial Hospital, Inc.
Practice addresses (Care Compare)
1100 E Michigan Ave
201 Henry Ford Allegiance Outpatient Trauma
Jackson, MI 49201-1849
Phone (517) 205-7069
Hospital & facility affiliations
- Henry Ford Allegiance Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101101000706 | MI | Practitioner - Critical Care (Intensivists) |
1951595271 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.010348 | OH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Beaumont Medical Group- Specialty Services | Surgery | Current |
Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current |
Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Surgical Critical Care | Current |
Accepting new patients |
| W.a. Foote Memorial Hospital | Past | Accepting new patients | |
| Wa Foote Memorial Hospital, Inc | Past | Accepting new patients |
Locations
28050 Grand River Ave
Farmington Hills, MI 48336
Phone (248) 471-8000
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
1100 E Michigan Ave
Ste 201
Jackson, MI 49201
Phone (517) 205-7605
813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000
Interoperability endpoints
- lcombs1229386@epic00.shdirect.org
- lcombs450576@direct.hfhs.org
- lcombs4973868@direct.beaumont.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 34.010348 | OH | |
| Surgical Critical Care Physician | 2086S0102X | 5101015764 | MI | Yes |
Addresses
Primary practice location
205 N East Ave
Jackson, MI 49201-1753
Mailing address
3755 Robert LN
Ann Arbor, MI 48103-8851
Other practice location 1
28050 Grand River Ave
Farmington Hills, MI 48336-5919
Phone (947) 521-8000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lcombs4973868@direct.beaumont.edu |
Other providers in Jackson, MI
- Collins Adult Day Care 24HR. Out of Home Respite
- Michael David Collins
- Whitney Claire Collins
- Colloquium Counseling and Consultation, PLLC
- Colonial 365, Inc.
- Mark Combs
- Comfort Zone Counseling LLC
- Comfortable Counseling PLLC
- Anna Commet
- Tricia Commet
All providers in Jackson, MI · Surgical Critical Care Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.