Thomas Benjamin Slavin, REGISTERED NURSE

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

041454540 Issued in IL

Practice address

2620 Perkins Creek Dr
Paducah, KY 42001-7494

Phone

(270) 444-8465

Fax

(270) 443-7734

NPI assigned

Feb 23, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1043918535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 PERKINS CREEK DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017494",
            "telephone_number": "270-444-8465",
            "fax_number": "270-443-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 PERKINS CREEK DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017494",
            "telephone_number": "270-444-8465",
            "fax_number": "270-443-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVIN",
        "first_name": "THOMAS",
        "middle_name": "BENJAMIN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "041454540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Slater, APRN
• Miriam Danese Slatter Hall, MD
• Slaughter & Slaughter DMD PSC
• Kathy R Slaughter, DMD
• Kinney E Slaughter, DMD
• Sleep Source Inc
• Sleep Source Kentucky, LLC
• Sleep Source Kentucky, LLC
• Matthew J Sloan
• Barbara Jane Smalley, LCSW

• Adult Medicine Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Adult Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.