Active NPI
Michael William Slater Jr., DO
- Gastroenterology Physician
- North Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- OS21412
- Practice address
- 200 Healthcare Way Ste 202
North Venice, FL 34275-3669 - Phone
- (941) 262-0400
- Fax
- (941) 262-0410
- NPI assigned
- Apr 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | OS21412 | FL | Primary |
Addresses
Primary practice location
200 Healthcare Way Ste 202
North Venice, FL 34275-3669
Mailing address
PO Box 947407
Atlanta, GA 30394-7407
Phone (941) 917-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240919002441 | FL | Practitioner - Gastroenterology | 0446502280 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Lake Erie Col of Osteopathic Medicine, Bradenton, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SMH Physician Services Inc
Practice addresses (Care Compare)
200 Healthcare Way
Suite 202
North Venice, FL 34275-3670
Phone (941) 261-0200
Hospital & facility affiliations
- Sarasota Memorial Hospital - Venice
- Sarasota Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 158 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 173 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS21412 | FL | MD | Gastroenterology Physician |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMH Physician Services Inc | Current | Accepting new patients | |
| SMH Physician Services Inc | Past | Accepting new patients |
Locations
200 Healthcare Way
Ste 202
North Venice, FL 34275
Phone (941) 261-0160
1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- michael.slater@fpg.directbygreenway.com
Organizations & group practices 2
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.
-
- Gynecology Physician
- Sarasota, FL
- NPI 1275525826
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
Hospital
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1174020705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 947407",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303947407",
"telephone_number": "941-917-2600",
"fax_number": "941-917-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HEALTHCARE WAY STE 202",
"city": "NORTH VENICE",
"state": "FL",
"postal_code": "342753669",
"telephone_number": "941-262-0400",
"fax_number": "941-262-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "MICHAEL",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-10",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "OS21412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.