Active NPI
Leslie E. F. Page, D.O.
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Wichita, KS
National Provider Identifier
1992753032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- License
- 05-20200
- Practice address
- 315 N Hillside St
Suite C
Wichita, KS 67214-4915 - Phone
- (316) 706-1788
- Fax
- (316) 462-1214
- NPI assigned
- May 4, 2006
- Last updated
- Aug 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | 05-20200 | KS | Primary |
Addresses
Primary practice location
315 N Hillside St
Suite C
Wichita, KS 67214-4915
Mailing address
315 N Hillside St
Suite C
Wichita, KS 67214-4915
Phone (316) 706-1788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598825606 | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-20200 | KS | MD | Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Associates LLC | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Wichita, KS
- NPI 1336123785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1992753032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N HILLSIDE ST",
"address_2": "SUITE C",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144915",
"telephone_number": "316-706-1788",
"fax_number": "316-462-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N HILLSIDE ST",
"address_2": "SUITE C",
"city": "WICHITA",
"state": "KS",
"postal_code": "672144915",
"telephone_number": "316-706-1788",
"fax_number": "316-462-1214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGE",
"first_name": "LESLIE",
"middle_name": "E. F.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207VF0040X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": "KS",
"license": "05-20200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598825606",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.