Leslie Orthopedics and Sports Medicine Inc

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

License

RP344 Issued in MO

Legal business name

LESLIE ORTHOPEDICS AND SPORTS MEDICINE INC

Practice address

226 E US Highway 54
Camdenton, MO 65020-6819

Phone

(573) 346-3700

Fax

(573) 346-3307

NPI assigned

May 23, 2007

Last updated

Feb 8, 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

Miss Robert Joe Bruce, RN

Title

Office Manager

Phone

(573) 346-3700

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1609086834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 E US HIGHWAY 54",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650206819",
            "telephone_number": "573-346-3700",
            "fax_number": "573-346-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E US HIGHWAY 54",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650206819",
            "telephone_number": "573-346-3700",
            "fax_number": "573-346-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE ORTHOPEDICS AND SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-346-3700",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "MO",
            "license": "RP344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHRIS LESLIE, D.O.",
            "identifier": "1922012772",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BRIAN D. SWANSON",
            "identifier": "1023031762",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael H Ledbetter, DO
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• Melody Sue Mader, D.C.
• Steven D Martin, M.D.
• Matthew Bowman LLC

• Pediatric Orthopaedic Surgery Physician in Camdenton, MO
• Providers in Camdenton, MO by specialty
• Pediatric Orthopaedic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.