Lori Ann Slezak, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME93310 Issued in FL

Practice address

4700 N Habana Ave
Suite 403
Tampa, FL 33614-7160

Phone

(813) 879-8290

Fax

(813) 873-1304

NPI assigned

Jul 26, 2006

Sex

Female

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)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1124042122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE",
            "address_2": "SUITE 403",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147160",
            "telephone_number": "813-879-8290",
            "fax_number": "813-873-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE",
            "address_2": "SUITE 403",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147160",
            "telephone_number": "813-879-8290",
            "fax_number": "813-873-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEZAK",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME93310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleepwell, Inc
• Kelli Lynn Slemp, SLP-CCC
• Raymond Ambrose Sleszynski Jr., DO
• Kathryn Slevin, P.T., DPT
• Slezak Colorectal Surgical Clinic
• SLG Therapy, LLC
• SLH Medical Corp (Helios Medical Equipment)
• Lindsey Sliby
• Danyle R Sligh
• John Slimak, SW

• Surgery Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.