Leslie Medical Center P C

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

4301052165 Issued in MI

Legal business name

LESLIE MEDICAL CENTER P C

Practice address

207 E Bellevue St
Leslie, MI 49251-9373

Phone

(517) 589-8252

Fax

(517) 589-5189

NPI assigned

Apr 11, 2007

Last updated

Mar 22, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timur Anum Baruti, MD

Title

Physician

Phone

(517) 589-8252

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1316160971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E BELLEVUE ST",
            "city": "LESLIE",
            "state": "MI",
            "postal_code": "492519373",
            "telephone_number": "517-589-8252",
            "fax_number": "517-589-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E BELLEVUE ST",
            "city": "LESLIE",
            "state": "MI",
            "postal_code": "492519373",
            "telephone_number": "517-589-8252",
            "fax_number": "517-589-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE MEDICAL CENTER P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "BARUTI",
        "authorized_official_first_name": "TIMUR",
        "authorized_official_middle_name": "ANUM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "517-589-8252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "MI",
            "license": "4301052165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4741000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J D K Centers Inc
• Travis Kapp, LPC
• John Daniel Kribs, D.C.
• Leslie Area Ambulance Service, Inc.
• Leslie Dental Associates
• Lynne Swerhone LLC
• Michaela Magry, PTA
• Robert Joseph Mondragon, D.D.S.
• Rachelle Motes
• Gary Michael Prieskorn, PHARMACIST

• Student Health Clinic/Center in Leslie, MI
• Providers in Leslie, MI by specialty
• Student Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.