Active NPI
Leslie Macdonald, MD
- Obstetrics & Gynecology Physician
- Watertown, MA
National Provider Identifier
1376514562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 203471
- Practice address
- 521 Mount Auburn St
Ste 103
Watertown, MA 02472-4191 - Phone
- (617) 926-2414
- Fax
- (617) 926-8152
- NPI assigned
- Jan 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 203471 | MA | Primary |
Addresses
Primary practice location
521 Mount Auburn St
Ste 103
Watertown, MA 02472-4191
Mailing address
521 Mount Auburn St
Ste 103
Watertown, MA 02472-4191
Phone (617) 926-2414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3203913 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 203471 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Auburn Prof Services | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1376514562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 MOUNT AUBURN ST",
"address_2": "STE 103",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024724191",
"telephone_number": "617-926-2414",
"fax_number": "617-926-8152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 MOUNT AUBURN ST",
"address_2": "STE 103",
"city": "WATERTOWN",
"state": "MA",
"postal_code": "024724191",
"telephone_number": "617-926-2414",
"fax_number": "617-926-8152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "203471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3203913",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Watertown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.