Individual provider Active NPI

Mark Stanton Leslie, MD

  • Orthopaedic Hand Surgery Physician
  • Traverse City, MI
National Provider Identifier
1992701460
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
4301044780 Issued in MI
Practice address
701 W Front St
Suite 100
Traverse City, MI 49684-2287
Phone
(231) 935-0800
NPI assigned
Jun 21, 2005
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 4301044780 MI Primary

Addresses

Primary practice location

701 W Front St
Suite 100
Traverse City, MI 49684-2287

Mailing address

701 W Front St
Suite 100
Traverse City, MI 49684-2287
Phone (231) 935-0800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mark.leslie@hsnmi.eclinicalworksdirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060217000365 MI Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 8527058841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
Wayne State University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

701 W Front St
Suite 100
Traverse City, MI 49684-2287
Phone (231) 935-0800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)18
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301044780MIMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Surgery of Northern Michigan PLC Hand Surgery CurrentSince Sep 1, 2000 Accepting new patients
Hand Surgery of Northern Michigan PLC Hand Surgery CurrentSince Sep 1, 2000 Accepting new patients
Jay H Jones MD PC Past Accepting new patients
Hand Surgery of Northern Michigan PLC Past Accepting new patients

Locations

701 Third St
Traverse City, MI 49684
Phone (231) 935-0733

701 W Front St
Ste 100
Traverse City, MI 49684
Phone (231) 935-0800

Interoperability endpoints

  • Direct secure messaging: mark.leslie@hsnmi.eclinicaldirectplus.com
  • Direct secure messaging: mark.leslie@hsnmi.eclinicalworksdirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1992701460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W FRONT ST",
            "address_2": "SUITE 100",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842287",
            "telephone_number": "231-935-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W FRONT ST",
            "address_2": "SUITE 100",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842287",
            "telephone_number": "231-935-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "MARK",
        "middle_name": "STANTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "MI",
            "license": "4301044780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mark.leslie@hsnmi.eclinicalworksdirectplus.com",
            "affiliation": "N",
            "address_1": "701 W Front St",
            "address_2": "Suite 100",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496842287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.