Active NPI
Lesley B McConville MD PLC
- Neurology Physician
- Hillsdale, MI
National Provider Identifier
1497793327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 4301073094
- Legal business name
- LESLEY B MCCONVILLE MD PLC
- Practice address
- 44 Monroe St
Hillsdale, MI 49242-1273 - Phone
- (517) 437-3545
- NPI assigned
- Jun 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lesley B McConville, MD
- Title
- Owner
- Phone
- (517) 416-3770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 4301073094 | MI | Primary |
Addresses
Primary practice location
44 Monroe St
Hillsdale, MI 49242-1273
Mailing address
3061 Christy Way
Saginaw, MI 48603-2267
Phone (989) 791-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4304837 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
44 Monroe St
Hillsdale, MI 49242
Phone (517) 437-2490
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Manistee, MI
- NPI 1144286857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196294400000",
"number": "1497793327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3061 CHRISTY WAY",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032267",
"telephone_number": "989-791-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 MONROE ST",
"city": "HILLSDALE",
"state": "MI",
"postal_code": "492421273",
"telephone_number": "517-437-3545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESLEY B MCCONVILLE MD PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2007-11-29",
"status": "A",
"authorized_official_last_name": "MCCONVILLE",
"authorized_official_first_name": "LESLEY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-416-3770",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301073094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4304837",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hillsdale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.