Organization Active NPI

Michael D. Slater, D.O., P.C.

  • Specialist
  • Buffalo, NY
National Provider Identifier
1104875368
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
238212 Issued in NY
Legal business name
MICHAEL D. SLATER, D.O., P.C.
Practice address
91 Grant St
Buffalo, NY 14213-1906
Phone
(716) 908-2868
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Michael D Slater, DO
Title
Owner
Phone
(716) 908-2868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 238212 NY Primary

Addresses

Primary practice location

91 Grant St
Buffalo, NY 14213-1906

Mailing address

908 Niagara Falls Blvd
Ste. 208
N Tonawanda, NY 14120-2019
Phone (716) 692-3302

Other names 1

  • Family Care Physicians of WNY, P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

91 Grant St
Buffalo, NY 14213
Phone (716) 881-2170

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1104875368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD",
            "address_2": "STE. 208",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-3302",
            "fax_number": "719-692-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 GRANT ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131906",
            "telephone_number": "716-908-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. SLATER, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-908-2868",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "238212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Physicians of WNY, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.