Wilson Roy Slaunwhite, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

120898 Issued in NY

Practice address

309 County Route 47
Suite 1
Saranac Lake, NY 12983-5405

Phone

(518) 891-2688

Fax

(518) 891-4120

NPI assigned

Jul 29, 2005

Last updated

May 14, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• North Country Family Physicians

  • Pediatrics Physician
  • Saranac Lake, NY
  • NPI 1730115916
  NPD
• James G Merrick M. D PLLC

  • Specialist
  • Saranac Lake, NY
  • NPI 1669801080
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1063412039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 COUNTY ROUTE 47",
            "address_2": "SUITE 1",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835405",
            "telephone_number": "518-891-2688",
            "fax_number": "518-891-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 COUNTY ROUTE 47",
            "address_2": "SUITE 1",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835405",
            "telephone_number": "518-891-2688",
            "fax_number": "518-891-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAUNWHITE",
        "first_name": "WILSON",
        "middle_name": "ROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "120898",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "120898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "1063412039",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NENY",
            "identifier": "000401496001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50E111",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DD2643",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00459458",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI FHP",
            "identifier": "P00000040501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Sears, LMT
• Claire Juliette Shade
• Mark S. Simkins, RPH
• Allison Simonson
• Michelle M Sirois, OT
• Granville Anthony Small, DDS
• Hope E Smith-Lincoln, CASAC
• Andrea Lynn Smith, RN
• Mary Alice Smith, RN
• Maryalice P Smith, RN

• Allergy & Immunology Physician in Saranac Lake, NY
• Providers in Saranac Lake, NY by specialty
• Allergy & Immunology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.