Individual provider Active NPI

Leslie Peterson Stone, MD

  • Family Medicine Physician
  • Ashland, OR
National Provider Identifier
1396896114
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22484 Issued in OR
Practice address
595 N Main St Ste 2
Ashland, OR 97520-1821
Phone
(541) 488-1116
Fax
(541) 488-6409
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22484 OR Primary
Obstetrics & Gynecology Physician 207V00000X MD22484 OR

Addresses

Primary practice location

595 N Main St Ste 2
Ashland, OR 97520-1821

Mailing address

595 N Main St Ste 2
Ashland, OR 97520-1821
Phone (541) 488-1116

Other identifiers 1

IdentifierTypeStateIssuer
289668MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100819001035 OR Practitioner - Family Practice 3971401969 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22484ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Crest Integrative Medicine PC Family Medicine Current Accepting new patients
Asante Physician Partners Family Medicine CurrentSince Mar 1, 2022 Accepting new patients

Locations

595 N Main St
Ste 2
Ashland, OR 97520
Phone (541) 488-1116

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004

Interoperability endpoints

  • Direct secure messaging: leslie.stone.acfm@jhie.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1396896114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 N MAIN ST STE 2",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201821",
            "telephone_number": "541-488-1116",
            "fax_number": "541-488-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 N MAIN ST STE 2",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201821",
            "telephone_number": "541-488-1116",
            "fax_number": "541-488-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "LESLIE",
        "middle_name": "PETERSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "22484",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD22484",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "289668",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

Verify at the official NPI Registry.