Leslie L Simonton-Smith, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036069531 Issued in IL

Practice address

8 Cusumano Professional Plaza Dr
Mount Vernon, IL 62864-6736

Phone

(618) 244-4800

Fax

(618) 241-1746

NPI assigned

Nov 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Womens Health Associates of Southern Illinois, S. C.

  • Obstetrics & Gynecology Physician
  • Mount Vernon, IL
  • NPI 1912073784
  NPD (past) Authorized official

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

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1417023284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CUSUMANO PROFESSIONAL PLAZA DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646736",
            "telephone_number": "618-244-4800",
            "fax_number": "618-241-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CUSUMANO PROFESSIONAL PLAZA DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646736",
            "telephone_number": "618-244-4800",
            "fax_number": "618-241-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONTON-SMITH",
        "first_name": "LESLIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-25",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036069531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "117129",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4126930",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160050341",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069531",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shamrock Services, LLC
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• Annette V Shores, M.D.
• Kellie Nicole Sigrist, MHP
• Bria Sims
• Naga Srinivas Sirikonda, M.D
• Olga Mary Skelly, N/A
• Skibo Family Eyecare LLC
• Emily Ellen Skibo, O.D.

• Obstetrics & Gynecology Physician in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.