Individual provider Active NPI

Lesley A Soine, MD

  • Otolaryngology Physician
  • West Fargo, ND
National Provider Identifier
1700944915
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
10000 Issued in ND
Practice address
350 23Rd Ave E Ste 102
West Fargo, ND 58078-7401
Phone
(701) 235-1924
Fax
(701) 235-6304
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 10000 ND Primary

Addresses

Primary practice location

350 23Rd Ave E Ste 102
West Fargo, ND 58078-7401

Mailing address

350 23Rd Ave E Ste 102
West Fargo, ND 58078-7401
Phone (701) 235-1924

Other identifiers 1

IdentifierTypeStateIssuer
13517MedicaidND

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address PlainsEarNoseandThroatandFacialPlasticSurgery.LesleySoine@121152.advancedmd-direct.com Health Information Exchange (HIE)
Direct Messaging Address PlainsEarNoseandThroatandFacialPlasticSurgery.LesleySoine@121152.advancedmd-direct.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20050823000895 ND Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 2365473931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
University of North Dakota School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

350 23Rd Ave E
Suite 102
West Fargo, ND 58078-7401
Phone (701) 235-1924

Hospital & facility affiliations

  • Sanford Medical Center Fargo Hospital, Fargo, ND, CCN 350011

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FM Endoscopy Center LLC Current Accepting new patients
Catalyst Medical Center PC Otolaryngology PastSince Dec 3, 2007 Accepting new patients

Locations

350 23rd Ave E
Ste 102
West Fargo, ND 58078
Phone (701) 235-1924

Interoperability endpoints

  • Direct secure messaging: plainsearnoseandthroatandfacialplasticsurgery.lesleysoine@121152.advancedmd-direct.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEBJBD

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1700944915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 23RD AVE E STE 102",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787401",
            "telephone_number": "701-235-1924",
            "fax_number": "701-235-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 23RD AVE E STE 102",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580787401",
            "telephone_number": "701-235-1924",
            "fax_number": "701-235-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOINE",
        "first_name": "LESLEY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "ND",
            "license": "10000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13517",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PlainsEarNoseandThroatandFacialPlasticSurgery.LesleySoine@121152.advancedmd-direct.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2700 12TH AVE S",
            "address_2": "STE D",
            "city": "FARGO",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581038723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PlainsEarNoseandThroatandFacialPlasticSurgery.LesleySoine@121152.advancedmd-direct.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "350 23rd Ave E Ste 102",
            "city": "West Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "580787401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

Verify at the official NPI Registry.