Active NPI
Leslie Aaron Neuman, M.D.
- Neurology Physician
- Grand Rapids, MI
National Provider Identifier
1730146119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 4301036207
- Practice address
- 2855 Michigan St NE
Suite 200
Grand Rapids, MI 49506-1221 - Phone
- (616) 957-4090
- Fax
- (616) 957-4095
- NPI assigned
- Apr 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 4301036207 | MI | Primary |
Addresses
Primary practice location
2855 Michigan St NE
Suite 200
Grand Rapids, MI 49506-1221
Mailing address
2855 Michigan St NE
Suite 200
Grand Rapids, MI 49506-1221
Phone (616) 957-4090
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LN036207 | Other | MI | BCBS OF MI STATE LIC |
| 1247316 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Mary'S Health Services | Past | Accepting new patients | |
| Trinity Health - Michigan | Past | Accepting new patients | |
| Neurological Associates of West Mi, PC | Neurology | Past | Accepting new patients |
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.
-
- Neurology Physician
- Grand Rapids, MI
- NPI 1295792026
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
- Federally Qualified Health Center (FQHC)
- Grand Rapids, MI
- NPI 1902002272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191456000000",
"number": "1730146119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2855 MICHIGAN ST NE",
"address_2": "SUITE 200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061221",
"telephone_number": "616-957-4090",
"fax_number": "616-957-4095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 MICHIGAN ST NE",
"address_2": "SUITE 200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061221",
"telephone_number": "616-957-4090",
"fax_number": "616-957-4095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUMAN",
"first_name": "LESLIE",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-28",
"last_updated": "2007-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "4301036207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI STATE LIC",
"identifier": "LN036207",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1247316",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.