Penola M. Garvin-Leslie, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301058406 Issued in MI

Practice address

1837 Campau Farms Cir
Detroit, MI 48207-5167

Phone

(313) 567-2704

Fax

(313) 567-2704

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Barbara Ann Center for Family Medicine

  • Family Medicine Physician
  • Southfield, MI
  • NPI 1831232339
  NPD (past) Authorized official
• Compassionate Doctors PC

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1326153578

  Family Medicine

  NPD (past)
• Greater Detroit Community Care

  • Public Health & General Preventive Medicine Physician
  • Dearborn, MI
  • NPI 1770520553
  NPD (past)
• Home VP Inc

  • Internal Medicine Physician
  • Southfield, MI
  • NPI 1922124320
  NPD (past)
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Trenton, MI
  • NPI 1740230648
  NPD (past)
• Southgate Urgent Care PC

  • Urgent Care Clinic/Center
  • Southgate, MI
  • NPI 1790967339
  NPD (past)
• Warren Urgent Care PC

  • Urgent Care Clinic/Center
  • Warren, MI
  • NPI 1255513891
  NPD (past)
• Wellstreet Urgent Care of Michigan

  • Non-Pharmacy Dispensing Site
  • Troy, MI
  • NPI 1649952052
  NPD (past)
• Osh-Mi Physicians Group PC

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1033766092
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1831140359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 CAMPAU FARMS CIR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482075167",
            "telephone_number": "313-567-2704",
            "fax_number": "313-567-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 CAMPAU FARMS CIR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482075167",
            "telephone_number": "313-567-2704",
            "fax_number": "313-567-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVIN-LESLIE",
        "first_name": "PENOLA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301058406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104757529",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Talour Garrison
• Ann Marie Garritano, M.D.
• Mary Garrity, NP
• Jacqueline Elaine Garry
• Elaina M Gartner, MD
• Ann Davis Garvin, CNM
• Michael Frank Garvin, .
• Andre'a Talina Garwood
• Andria Salina Garwood
• Candice Garwood, PHARM.D.

• Family Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.

Verify at the official NPI Registry.