Individual provider Active NPI

Tobin A. Slack, M.D.

  • Anesthesiology Physician
  • Beaumont, TX
National Provider Identifier
1043354350
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
K4799 Issued in TX
Practice address
755 N 11TH St
Suite P3600
Beaumont, TX 77702-1501
Phone
(409) 838-5214
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X K4799 TX Primary

Addresses

Primary practice location

755 N 11TH St
Suite P3600
Beaumont, TX 77702-1501

Mailing address

PO Box 5587
Beaumont, TX 77726-5587
Phone (409) 838-5214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091013000274 TX Practitioner - Anesthesiology 9133298060 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Louisiana State University School of Medicine in Shreveport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

Practice addresses (Care Compare)

919 E 32ND St
Austin, TX 78705-2703
Phone (512) 343-2466

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713
  • North Austin Medical Center Hospital, Austin, TX, CCN 450809
  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K4799TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Anesthesiology Group PLLC Anesthesiology CurrentSince Apr 13, 2024 Accepting new patients
Westlake Anesthesia Group PA Anesthesiology CurrentSince Apr 1, 2023 Accepting new patients
Anesthesia Associates Pain Institute PLLC Current Accepting new patients
Austin Anesthesiology Group, PLLC Anesthesiology CurrentSince Apr 13, 2024 Accepting new patients
Emergenchealth PLLC Anesthesiology CurrentSince May 8, 2023 Accepting new patients
Independent Physicians Network PLLC Anesthesiology CurrentSince May 1, 2023 Accepting new patients
Westlake Anesthesia Group PA CurrentSince Apr 1, 2023 Accepting new patients
Universal Pain Management, PLLC Current Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince May 1, 2023 Accepting new patients
Metrowest Anesthesia Care, PLLC Anesthesiology Past Accepting new patients

Locations (25 of 29)

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

12200 Renfert Way
Ste G-2
Austin, TX 78758
Phone (512) 901-8340

1111 W 34th St
Austin, TX 78705
Phone (512) 343-2466

900 W 38th St
Ste 200
Austin, TX 78705
Phone (512) 323-2061

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

14425 Falcon Head Blvd
#11
Austin, TX 78738
Phone (512) 900-1006

12201 Renfert Way
Ste 120
Austin, TX 78758
Phone (512) 454-6753

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

4307 James Casey St
Austin, TX 78745
Phone (512) 416-6005

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

1201 W Louis Henna Blvd
Austin, TX 78681
Phone (512) 248-7000

2501 W William Cannon Dr
Ste 301
Austin, TX 78745
Phone (512) 439-7300

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

755 N 11th St
Ste P3600
Beaumont, TX 77702
Phone (409) 838-5214

3080 College St
#T
Beaumont, TX 77701
Phone (409) 212-5002

1907 Cypress Creek Rd
Ste 108
Cedar Park, TX 78613
Phone (512) 294-2565

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

204 Gateway N
Ste B
Marble Falls, TX 78654
Phone (830) 798-1821

4600 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (713) 853-9302

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

16030 Park Valley Dr
Ste 100
Round Rock, TX 78681
Phone (512) 246-8777

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1043354350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5587",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777265587",
            "telephone_number": "409-838-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "SUITE P3600",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021501",
            "telephone_number": "409-838-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACK",
        "first_name": "TOBIN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K4799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.