Lesley Kyle Bow, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

54953 Issued in KY

Practice address

484 Tollage CRK
Pikeville, KY 41501-3305

Phone

(606) 230-2255

Fax

(606) 437-3001

NPI assigned

Oct 2, 2008

Last updated

Aug 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL, KY2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lesley.bow.1@19494.direct.athenahealth.com
• Direct secure messaging: lesley.bow.2@19494.direct.athenahealth.com

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Compassion Pediatrics of Wayland

  • Rural Health Clinic/Center
  • Wayland, KY
  • NPI 1922754290

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership
• Compassion Services

  • Rural Health Clinic/Center
  • Pikeville, KY
  • NPI 1619642972

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership
• Sebree Medical Group

  • Rural Health Clinic/Center
  • Sebree, KY
  • NPI 1902514904

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership

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.

• Sebree Medical Group

  • Rural Health Clinic/Center
  • Sebree, KY
  • NPI 1902514904
  Medicare reassignment NPD Authorized official
• Compassion Adult Medical Care LLC

  • Family Medicine Physician
  • Prestonsburg, KY
  • NPI 1154088763
  Authorized official Same address or phone
• Compassion Pediatrics of Wayland

  • Rural Health Clinic/Center
  • Wayland, KY
  • NPI 1922754290
  NPD (past) Authorized official
• Compassion Services

  • Rural Health Clinic/Center
  • Pikeville, KY
  • NPI 1619642972
  NPD (past) Authorized official
• Compassion Pediatrics LLC

  • Pediatrics Physician
  • Orlando, FL
  • NPI 1194066761
  Authorized official Same address or phone

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1356592968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 S SEMORAN BLVD STE A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328222472",
            "telephone_number": "407-203-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 TOLLAGE CRK",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013305",
            "telephone_number": "606-230-2255",
            "fax_number": "606-437-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4445 S Semoran Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328222472",
            "country_code": "US",
            "telephone_number": "407-203-8957",
            "fax_number": "407-985-1904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4445 S Semoran Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328222472",
            "country_code": "US",
            "telephone_number": "407-203-8957",
            "fax_number": "407-985-1904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Adams Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415013088",
            "country_code": "US",
            "telephone_number": "606-230-2255",
            "fax_number": "606-437-3001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2643 King Kelly Coleman Hwy",
            "address_purpose": "LOCATION",
            "city": "Wayland",
            "state": "KY",
            "postal_code": "41666",
            "country_code": "US",
            "telephone_number": "606-531-4040",
            "fax_number": "606-284-2039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOW",
        "first_name": "LESLEY",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME110633",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "54953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356592968",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100713440",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004431700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356592968",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy K. Bolling, NP
• Mary Kathleen Booten, FNP-BC
• Vamsikalyan Reddy Reddy Borra, M.B.B.S
• Anthony J Bottiggi, M.D.
• Nisrine Bou Malhab, MD
• Lillian C Bowen
• Adam Bowens, DVM
• Samantha Boyd
• Olivia Makenzie Boyette
• Tina Bragg

• Pediatrics Physician in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.