Individual provider Active NPI

Lori Jo Slavick, PA-C

  • Physician Assistant
  • Chambersburg, PA
National Provider Identifier
1104037464
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA066517 Issued in PA
Practice address
550 Cleveland Ave Ste 202
Chambersburg, PA 17201-3430
Phone
(717) 724-1414
Fax
(717) 724-1418
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004018 MI
Physician Assistant 363A00000X C04986 MD
Physician Assistant 363A00000X MA066517 PA Primary

Addresses

Primary practice location

550 Cleveland Ave Ste 202
Chambersburg, PA 17201-3430

Mailing address

10956 Sassan LN
Hagerstown, MD 21742-4069
Phone (248) 939-7845

Other names 1

  • Lori Jo Markowitz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181126001513 PA Practitioner - Physician Assistant 1951578871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Detroit Mercy School of Dentistry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CompassionatecarellcGroup PAC ID 0749727469, 3 clinicians

Practice addresses (Care Compare)

20 N Front St
Bally, PA 19503-9605
Phone (610) 624-5936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601004018MIMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1104037464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10956 SASSAN LN",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217424069",
            "telephone_number": "248-939-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CLEVELAND AVE STE 202",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013430",
            "telephone_number": "717-724-1414",
            "fax_number": "717-724-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVICK",
        "first_name": "LORI",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004018",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C04986",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA066517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "MARKOWITZ",
            "middle_name": "JO",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.