Individual provider Active NPI

John T Leslie, MD

  • Family Medicine Physician
  • Mountain Home, AR
National Provider Identifier
1760426746
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-5469 Issued in AR
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

Updated by the provider on Apr 1, 2019

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 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

IdentifierTypeStateIssuer
166793001MedicaidAR
5H064OtherARBLUECROSS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080325000179 AR Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 7517936214

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital, Inc CurrentSince Aug 6, 2018 Accepting new patients
Baxter County Regional Hospital, Inc Family Medicine CurrentSince Aug 6, 2018 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 PastSince Nov 7, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.