Active NPI
John T Leslie, MD
- Family Medicine Physician
- Mountain Home, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E-5469
- Practice address
- 675 Highway 62 E
Mountain Home, AR 72653-3207 - Phone
- (870) 508-7600
- Fax
- (870) 508-7609
- NPI assigned
- Jun 16, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-5469 | AR | Primary |
Addresses
Primary practice location
675 Highway 62 E
Mountain Home, AR 72653-3207
Mailing address
675 Highway 62 E
Mountain Home, AR 72653-3207
Phone (870) 508-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166793001 | Medicaid | AR | |
| 5H064 | Other | AR | BLUECROSS BLUESHIELD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080325000179 | AR | Practitioner - Family Practice | 7517936214 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baxter County Regional Hospital, Inc | Current | Accepting new patients | |
| Baxter County Regional Hospital, Inc | Family Medicine | Current | Accepting new patients |
| Baxter County Regional Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
| McClintock Family Medicine | Family Medicine | Past | Accepting new patients |
| Theresa T Morrison MD PLLC | Family Medicine | Past | Accepting new patients |
Locations
555 W 6th St
Mountain Home, AR 72653
Phone (870) 425-1787
675 Highway 62 E
Mountain Home, AR 72653
Phone (870) 425-5464
624 Hospital Dr
#6S
Mountain Home, AR 72653
Phone (870) 421-6023
230 Highway 5 N
Ste 20
Mountain Home, AR 72653
Phone (870) 425-6212
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CAJIAA
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1760426746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 HIGHWAY 62 E",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533207",
"telephone_number": "870-508-7600",
"fax_number": "870-508-7609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 HIGHWAY 62 E",
"city": "MOUNTAIN HOME",
"state": "AR",
"postal_code": "726533207",
"telephone_number": "870-508-7600",
"fax_number": "870-508-7609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESLIE",
"first_name": "JOHN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "E-5469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166793001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "5H064",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Home, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.