Dwight Earl Slater, MD
Individual provider Active NPI Emergency Medicine Physician · Pigeon, MI
NPI 1144320169 · NPPES record last updated Mar 26, 2021
Key facts
- NPI
- 1144320169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 4301048861 (MI)
- Practice address
- 170 N Caseville Rd
Pigeon, MI 48755-9704 - Phone
- (989) 453-3223
- Fax
- (989) 453-4454
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301048861 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hills & Dales General Hospital, Inc. | Past | Accepting new patients | |
| Quality Care Physicians Group | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301048861 | MI | Yes |
Addresses
Primary practice location
170 N Caseville Rd
Pigeon, MI 48755-9704
Mailing address
170 N Caseville Rd
Pigeon, MI 48755-9704
Phone (989) 453-3223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146626 | Other | MI | GLHP ER PHYS |
| 104685081 | Medicaid | MI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dslater84146@direct.covenanthealthcare.com |
Other providers in Pigeon, MI
- Scheurer Hospital
- Seasons Change Home Health Care, Inc.
- David Jay Segroves
- Jenna Shaw
- Erik Sinka
- Kayla Smith
- Patricia Smith
- Stephen P Stewart
- Craig Richard Tetreau
- The Rose Gardan, Inc.
All providers in Pigeon, MI · Emergency Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.