Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1316948706 Individual Practitioner Female Practitioner

Dr. Leslie S Johnson , MD

Pediatrics • Socorro, NM

Professional Overview & Biography Verified Profile Summary

Dr. Leslie Johnson, MD is a registered healthcare professional specializing in Pediatrics in Socorro, NM. Practice services are available at SOCORRO GENERAL MEDICAL GROUP under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Socorro General Medical Group
1204 Us Highway 60 West

Socorro, NM 87801

Telephone 5758384690
Fax 5758384689
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Socorro, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Socorro, NM (471 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NM 86-068

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
15412 (NM)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Martha Mcgowan , LCSW

Social Worker - Clinical

NPI 1013507573

Licensed Clinical Social Worker

Dr. Darla Bejnar , MD

Family Medicine

NPI 1104980572

Doctor of Medicine (M.D.)

Tina Vallejos

Physical Therapy Assistant

NPI 1114855491
Shelby Manno , CPNP

Nurse Practitioner - Pediatrics

NPI 1215655287

Certified Pediatric Nurse Practitioner

Tana Hudson , LISW

Social Worker - Clinical

NPI 1245500974

Licensed Independent Social Worker

Melissa Edmondson , PT

Physical Therapist

NPI 1376987461

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 14, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2008

Registered at SOCORRO GENERAL MEDICAL GROUP, 1204 US HIGHWAY 60 WEST, SOCORRO, NM 87801 (Tel: 5758384690)

📍
Updated Business Mailing Address August 14, 2008

Registered at PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 871256666 (Tel: 5059235356)

👤
Provider Name / Credentials Updated August 14, 2008

Recorded as LESLIE JOHNSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2008

Pediatrics (License #86-068 in NM)

🟢
Initial NPI Registration & Enumeration August 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316948706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2005
Last Update: August 14, 2008
Sole Proprietor: No

Mailing Address

Po Box 26666, Phs Provider Enrollment

Albuquerque, NM 871256666

Phone: 5059235356

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.