Leslie John Salloum, MD, PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

200301519 Issued in NC

Legal business name

LESLIE JOHN SALLOUM, MD, PA

Practice address

921 S Long Dr
Suite 208
Rockingham, NC 28379-4874

Phone

(910) 417-3540

Fax

(910) 417-3542

NPI assigned

Jul 25, 2006

Last updated

Oct 2, 2008By 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

Mr. Leslie John Salloum, MDNPI 1578562849

Title

President

Phone

(910) 417-3540

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie John Salloum, MD

  • Surgery Physician
  • Laurinburg, NC
  • NPI 1578562849
  NPD (past) Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1396767414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S LONG DR",
            "address_2": "SUITE 208",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794874",
            "telephone_number": "910-417-3540",
            "fax_number": "910-417-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S LONG DR",
            "address_2": "SUITE 208",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794874",
            "telephone_number": "910-417-3540",
            "fax_number": "910-417-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE JOHN SALLOUM, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "SALLOUM",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-417-3540",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "200301519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13506",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913506",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC2516",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Olujide G Lawal, MD
• Katherine Gillette Layton, PHARM.D.
• Ashton Lee
• Carmen Scarboro Lentz, LCMHCS, LCAS, CCMHC
• Leonard H Haltiwanger, DMD, Ms, PA
• Let's Talk Educational Center Corp
• Let's Talk Therapy Services
• Lets Talk Now Corp
• Betty Dennis Leviner, R.N.
• Liberty Nursing Services II, LLC (Liberty Nursing Services)

• Surgery Physician in Rockingham, NC
• Providers in Rockingham, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.