Individual provider Active NPI

Leslie Starr-Omer, D.C.

  • Chiropractor
  • Washington, IN
National Provider Identifier
1982794053
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001602 Issued in IN
Practice address
501 SE 2ND St
Washington, IN 47501-4043
Phone
(812) 254-0476
Fax
(812) 254-0477
NPI assigned
Oct 13, 2006
Last updated
Aug 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001602 IN Primary

Addresses

Primary practice location

501 SE 2ND St
Washington, IN 47501-4043

Mailing address

501 SE 2ND St
Washington, IN 47501-4043
Phone (812) 254-0476

Other identifiers 2

IdentifierTypeStateIssuer
200042620MedicaidIN
P00462434OtherINPALMETTO GBA- RAILROAL MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080109000638 IN Practitioner - Chiropractic 5698855153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Omer Chiropractic Clinic PCGroup PAC ID 0446330906, 2 clinicians

Practice addresses (Care Compare)

501 SE 2ND St
Washington, IN 47501-4043
Phone (812) 254-0476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001602INMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Omer Chiropractic Clinic PC Chiropractor CurrentSince Jan 1, 2008 Accepting new patients

Locations

501 SE 2nd St
Washington, IN 47501
Phone (812) 254-0476

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1982794053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SE 2ND ST",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014043",
            "telephone_number": "812-254-0476",
            "fax_number": "812-254-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SE 2ND ST",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014043",
            "telephone_number": "812-254-0476",
            "fax_number": "812-254-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR-OMER",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200042620",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA- RAILROAL MEDICARE",
            "identifier": "P00462434",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.