DR. LESLIE ANN MARSHALL (NPI# 1477878221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477878221 |
| Entity Type | Individual |
| Full Name | DR. LESLIE ANN MARSHALL |
| Credential | D.O. |
| Practice Address |
1115 Alaska St Ste 214 West Plains MO 65775-2014 |
| Mailing Address |
Po Box 1100 West Plains MO 65775-1100 |
| Practice Telephone | 4175057114 |
| Practice Fax Number | 4178535302 |
| Mailing Telephone | 4172569111 |
| Mailing Fax Number | 4172575947 |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 2015018546 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 200062024 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1316 Country Club Dr, Kirksville, MO 635015362 | 6606277546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952761298 | Leslie Marshall | Marriage & Family Therapist | 164 Farist Rd, Fairfield, CT 06825-3207 | 2016-02-29 |
| 1811474232 | Leslie Marshall | Behavioral Analyst | 1986 Brighton Ave, Grover Beach, CA 93433-1816 | 2018-07-27 |
| 1104223429 | Leslie Ann Marshall | Community Health Worker | 900 W 1st St Ste 200, Reno, NV 89503-5587 | 2014-12-02 |
| 1558569269 | Leslie Marie Marshall | Counselor | 6797 N High St, Ste. 350, Worthington, OH 43085-2533 | 2007-07-03 |
| 1518995968 | Leslie Marshall | Radiology | 7501 Greenway Center Dr, Suite 200, Greenbelt, MD 20770-3514 | 2006-06-28 |
| 1114906880 | Leslie Patricia Marshall | Emergency Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2006-01-11 |
| Street Address |
1115 ALASKA ST STE 214 |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558328377 | Douglas Thane Romney Cody II | Otolaryngology | 1115 Alaska St Ste 214, West Plains, MO 65775-2014 | 2006-04-26 |
| 1396343935 | Ozarks Medical Center | Dermatology | 1115 Alaska St Ste 214, West Plains, MO 65775-2014 | 2020-10-15 |
| 1285185975 | Kimberly A Brauer | Audiologist | 1115 Alaska St Ste 214, West Plains, MO 65775-2014 | 2016-10-18 |
| 1427337104 | Ozarks Medical Center | Internal Medicine | 1115 Alaska St Ste 214, West Plains, MO 65775-2014 | 2011-08-11 |
| 1881610491 | Husam A Barakat | Internal Medicine | 1115 Alaska St Ste 214, West Plains, MO 65775-2014 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| 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 |
|---|---|---|---|---|
| 1396343935 | Ozarks Medical Center | Dermatology | 1115 Alaska St Ste 214, West Plains, MO 65775-2014 | 2020-10-15 |
| 1831115641 | Ozarks Medical Center | Dermatology | 1100 N Kentucky Ave, West Plains, MO 65775-2029 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605906 | Deluxe Dermatology LLC | Dermatology | 1034 S Brentwood Blvd Ste 1000, Saint Louis, MO 63117-1210 | 2020-10-03 |
| 1811510886 | Yoon Dermatology LLC | Dermatology | 1060 Meyer Rd, Wentzville, MO 63385-3800 | 2020-05-25 |
| 1417597923 | Anna Marie Aiazzi | Dermatology | 10012 Kennerly Rd Ste 401, Saint Louis, MO 63128-2197 | 2020-01-13 |
| 1790330371 | Baydon Earl Hilton | Dermatology | 1003 Kings Rd, Kirksville, MO 63501-2627 | 2019-08-09 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1528537057 | Cayce Medical Spa, Inc | Dermatology | 2001 Corona Rd Ste 201, Columbia, MO 65203-5924 | 2018-11-14 |
| 1396226981 | Nicole Betty | Dermatology | 413 W Water Street, Greenfield, MO 65661 | 2018-08-22 |
| 1366946832 | Novahealth Medical Group, LLC | Dermatology | 3208 Lemone Industrial Blvd Ste A, Columbia, MO 65201-8244 | 2018-03-20 |
| 1952757007 | Stacy Gittel Blum | Dermatology | 222 S Woods Mill Rd Ste 480, Chesterfield, MO 63017-3625 | 2016-05-08 |
| 1508248576 | Kaitlin Ann Schiavo | Dermatology | 204 N Keene St Ste 100, Columbia, MO 65201-8136 | 2015-06-25 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
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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.