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DR. LESLIE WEYLON PANUS M.D.
NPI 1063416089
Internal Medicine - Nephrology in Johnson City, TN

Active since June 08, 2005
107 WOODLAWN DR, JOHNSON CITY, TN 37604(423) 929-7168(423) 928-9625 Get Directions Write a Review

NPPES record last updated: December 30, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Leslie Weylon Panus M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LESLIE WEYLON PANUS M.D. (NPI 1063416089) is an individual nephrology provider in Johnson City, Tennessee, licensed in Tennessee (MD27541) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1063416089
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. LESLIE WEYLON PANUSCredential: M.D.
Location Address107 WOODLAWN DRJohnson City, TN 37604-5978
Mailing Address107 Woodlawn DrJohnson City, TN 37604-5978 · (423) 929-7168 · Fax (423) 928-9625
Phone(423) 929-7168
Fax(423) 928-9625
Sole ProprietorNo
Enumeration DateJune 8, 2005
Last NPPES UpdateDecember 30, 2009
✔ NPI 1063416089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TN · MD27541
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD27541 (TN)
107 WOODLAWN DR, Johnson City, TN 37604
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Other Identifiers 3

Medicaid3098628TN
Medicare PIN3098628TN
Medicare UPINC79128TN

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CLIFFORD FRANK WIEGAND MD
Internal Medicine (Nephrology)
107 WOODLAWN DR
JOHNSON CITY, TN 37604
Washington County (423) 929-7158
EAST TENNESSEE MEDICAL ASSOCIATES, P.C.
Internal Medicine (Nephrology)
107 WOODLAWN DR
JOHNSON CITY, TN 37604
Washington County (423) 929-7158
DR. STANLEY EUGENE VERMILLION MD
Internal Medicine (Nephrology)
107 WOODLAWN DR
JOHNSON CITY, TN 37604
Washington County (423) 929-7158
DR. MARTIN QUAN TRAN D.O.
Internal Medicine (Nephrology)
107 WOODLAWN DR
JOHNSON CITY, TN 37604
Washington County (423) 929-7158
TENNESSEE VALLEY DIALYSIS CENTER LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
107 WOODLAWN DR, STE 2
JOHNSON CITY, TN 37604
Washington County (423) 926-2976

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Panus's NPI number?

The NPI number for Leslie Panus is 1063416089. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Leslie Panus located?

Leslie Panus practices at 107 Woodlawn Dr, Johnson City, TN 37604. The listed phone number is (423) 929-7168.

What is Leslie Panus's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Leslie Panus was last updated on December 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.