NPIMap

Individual provider Active NPI

Edward Norman Slayden, MD

  • Internal Medicine Physician
  • Uniontown, PA
National Provider Identifier
1124468384
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD458954 Issued in PA
Practice address
500 W Berkeley St
Uniontown, PA 15401-5514
Phone
(724) 430-6598
Fax
(724) 430-3932
NPI assigned
Jul 2, 2013
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A156853 CA
Internal Medicine Physician 207R00000X MD458954 PA Primary

Addresses

Primary practice location

500 W Berkeley St
Uniontown, PA 15401-5514

Mailing address

1721 Buena Vista St
Pittsburgh, PA 15212-3919
Phone (410) 952-9511

Other practice location 1

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 547-5437

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eslayden1658326@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190213001939 CA Practitioner - HospitalistPractitioner - Internal Medicine 1355620311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A156853CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc Internal Medicine CurrentSince Sep 10, 2018 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Fayette Physician Network Inc CurrentSince Sep 21, 2016 Accepting new patients
Providence Medical Foundation CurrentSince Jan 21, 2019 Accepting new patients
Providence Medical Foundation Internal Medicine CurrentSince Jan 21, 2019 Accepting new patients
Fayette Physician Network Inc Internal Medicine CurrentSince Sep 21, 2016 Accepting new patients
Fayette Physician Network Inc Internal Medicine Current Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Upmc Northwest Past Accepting new patients
Uniontown Hospital Past Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

Interoperability endpoints

  • Direct secure messaging: eslayden1658326@oc.providencedirect.org

Organizations & group practices 12

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1124468384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 BUENA VISTA ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152123919",
            "telephone_number": "410-952-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W BERKELEY ST",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154015514",
            "telephone_number": "724-430-6598",
            "fax_number": "724-430-3932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1165 Montgomery Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954054801",
            "country_code": "US",
            "telephone_number": "707-547-5437",
            "fax_number": "707-547-5430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAYDEN",
        "first_name": "EDWARD",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A156853",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD458954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eslayden1658326@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1165 Montgomery Dr",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954054801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

Verify at the official NPI Registry.