Individual provider Active NPI

Thomas S Leslie, M.D.

  • Family Medicine Physician
  • Harrison, AR
National Provider Identifier
1588635320
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C-5574 Issued in AR
Practice address
306 N Chestnut St
Harrison, AR 72601-4453
Phone
(870) 741-8559
Fax
(870) 741-8423
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C-5574 AR Primary

Addresses

Primary practice location

306 N Chestnut St
Harrison, AR 72601-4453

Mailing address

PO Box 1497
Harrison, AR 72602-1497
Phone (870) 741-8559

Other identifiers 1

IdentifierTypeStateIssuer
101303001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20090513000431 AR Practitioner - General PracticePractitioner - Family Practice 5092791897 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-5574ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McClintock Family Medicine Family Medicine CurrentSince Feb 1, 2009 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

306 N Chestnut St
Harrison, AR 72601
Phone (870) 701-5051

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAJIAA

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1588635320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1497",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726021497",
            "telephone_number": "870-741-8559",
            "fax_number": "870-741-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N CHESTNUT ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726014453",
            "telephone_number": "870-741-8559",
            "fax_number": "870-741-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "THOMAS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-5574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101303001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.