MICHAEL LESLIE (NPI# 1467709972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467709972 |
| Entity Type | Individual |
| Full Name | MICHAEL LESLIE |
| Credential | M.D., PH.D. |
| Practice Address |
9348 Grand Cordera Pkwy Suite 160 Colorado Springs CO 80924-7001 |
| Practice Telephone | 7193551585 |
| Practice Fax Number | 7196232983 |
| Mailing Telephone | 7193551585 |
| Mailing Fax Number | 7196232983 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | DR.0053411 | CO | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | P6857 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386276764 | Michael Leslie | Community Health Worker | 270 Bridge St Ste 301, Dedham, MA 02026-1798 | 2020-02-04 |
| 1548729684 | Michael Aaron Leslie | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3175 | 2019-03-18 |
| 1619371036 | Michael Jeremy Leslie | Behavioral Analyst | 2020 E Hebron Pkwy Ste 120, Carrollton, TX 75007-1618 | 2014-10-14 |
| 1215147699 | Michael Patrick Leslie | Orthopaedic Surgery | 800 Howard Ave, New Haven, CT 06519-1369 | 2007-05-23 |
| 1851367395 | Michael Bruce Leslie | Psychiatry & Neurology | 1493 Cambridge St, Dept of Psychiatry, Cambridge Health Alliance, Cambridge, MA 02139-1047 | 2006-02-24 |
| 1477546794 | Michael Joseph Leslie | Psychiatry & Neurology | 5433 State Route 113, Bellevue, OH 44811-9708 | 2005-08-23 |
| Street Address |
9348 GRAND CORDERA PKWY SUITE 160 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80924-7001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346215894 | Rachel L Frederickson | Physician Assistant | 9348 Grand Cordera Pkwy, 160, Colorado Springs, CO 80924-7023 | 2006-02-20 |
| 1578995189 | Apple Grove Dental PC | Dentist | 9348 Grand Cordera Pkwy, Suite #100, Colorado Springs, CO 80924-7001 | 2013-08-06 |
| 1487968459 | Toan Chung | Dentist | 9348 Grand Cordera Pkwy, Suite 100, Colorado Springs, CO 80924-7001 | 2010-08-03 |
| 1518105253 | Vanguard Medical Specialists LLC | Dermatology | 9348 Grand Cordera Pkwy, Ste 160, Colorado Springs, CO 80924-7001 | 2009-02-03 |
| 1730364167 | Vinh Quoc Chung | Dermatology | 9348 Grand Cordera Pkwy, Ste 160, Colorado Springs, CO 80924-7001 | 2008-01-03 |
| 1851411409 | Renata Prado De Fuccio Oliveira | Dermatology | 9348 Grand Cordera Pkwy, Suite 160, Colorado Springs, CO 80924-7023 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714237 | Retina Consultants of Southern Colorado P C | Ophthalmology | 10035 Pearl Pass View, Suite 110, Colorado Springs, CO 80924 | 2020-06-11 |
| 1750808200 | Melody Living Associates, LLC | Assisted Living Facility | 7600 Sand Rock Point, Colorado Springs, CO 80924 | 2017-08-25 |
| 1891156436 | Kristin Speer | Pharmacist | 5215 Mount Cutler Ct, Colorado Springs, CO 80924 | 2016-03-10 |
| 1336553874 | Roman Igorevich Krivochenitser | Ophthalmology | 9320 Grand Cordera Pkwy Ste 255, Colorado Springs, CO 80924 | 2014-06-12 |
| 1659790202 | Center At Centennial, LLC | Skilled Nursing Facility | 9208 Grand Cordera Parkway, Colorado Springs, CO 80924 | 2014-04-10 |
| 1487903076 | Flora N Dewald | Physical Therapist | 9559 Pancake Rocks Trail, Colorado Springs, CO 80924 | 2012-08-29 |
| 1760613863 | Nicole R Hartmann | Dentist | 9625 Prominent Point Suite 100, Colorado Springs, CO 80924 | 2009-08-06 |
| 1700020104 | Prominent Point Dental Group and Orthodontics, LLP | Dentist | 9625 Prominent Point, Suite 100, Colorado Springs, CO 80924 | 2009-04-29 |
| 1801087044 | James C Banich | Plastic Surgery | 9348 Grand Cordera Pkwy Ste 160, Colorado Springs, CO 80924 | 2007-08-05 |
| 1275747933 | Carefree Family Medicine | Family Medicine | 9320 Grand Cordera Parkway, Suite 235, Carefree Family Medicine, Colorado Springs, CO 80924 | 2007-05-10 |
| Find all providers in zip 80924 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392973 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 2060 Briargate Pkwy Ste 150, Colorado Springs, CO 80920-7660 | 2020-10-02 |
| 1598171423 | Natalie R Edgar | Dermatology | 215 S Parkside Dr Ste 2015, Colorado Springs, CO 80910-3131 | 2014-07-11 |
| 1457766487 | Nickolas Evangelos Poulos | Dermatology | 6071 E Woodmen Rd Ste 230, Colorado Springs, CO 80923-2607 | 2014-06-28 |
| 1699021386 | Mountaintop Dermatology, Pllc | Dermatology | 2465 Research Pkwy, Suite 200, Colorado Springs, CO 80920-1089 | 2012-07-31 |
| 1487759254 | Ronald A Johnson | Dermatology | Ste 200 1665 Briargate Blvd, Colorado Springs, CO 80920-3400 | 2006-09-14 |
| 1700993409 | James A Mccoy | Dermatology | 625 N Cascade Ave Ste 105, Colorado Springs, CO 80903-3271 | 2006-08-25 |
| 1801901517 | Colorado Springs Dermatology Clinic, P.C. | Dermatology | 170 Parkside Dr, Colorado Springs, CO 80910-3129 | 2006-08-20 |
| 1598708737 | Lee H Blatt | Dermatology | 3229 W Carefree Cir, Colorado Springs, CO 80917-3004 | 2006-06-14 |
| 1629037395 | Frank Mark Samarin | Dermatology | 2465 Research Parkway, Suite 200, Colorado Springs, CO 80920 | 2006-03-21 |
| 1255322319 | Paige L. Neifert | Dermatology | 2405 Research Pkwy, Colorado Springs, CO 80920-1044 | 2005-10-28 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80924 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.