Individual provider Active NPI

William M Slater, M.D.

  • Surgery Physician
  • Scott City, KS
National Provider Identifier
1194778951
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0420362 Issued in KS
Practice address
201 Albert Ave
Scott City, KS 67871-6117
Phone
(620) 872-2781
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0420362 KS Primary

Addresses

Primary practice location

201 Albert Ave
Scott City, KS 67871-6117

Mailing address

1908 N 14TH St Ste 202
Ponca City, OK 74601-2039
Phone (580) 718-4506

Other practice location 1

1908 N 14th St Ste 202
Ponca City, OK 74601-2039
Phone (580) 718-4506

Other identifiers 2

IdentifierTypeStateIssuer
020037172OtherKSRAILROAD MEDICARE
100177090BMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address slater-william.slater.1@4696.direct.athenahealth.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161208001415 OK Practitioner - General Surgery 1355253592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

119 Patton Dr
Ponca City, OK 74601-2030
Phone (580) 576-4100

121 Patton Dr
Ponca City, OK 74601-2030
Phone (580) 762-6676

1900 N 14TH St
Ponca City, OK 74601-2035
Phone (580) 765-3321

3400 NW Expressway
Suite 500
Oklahoma City, OK 73112-4492
Phone (405) 945-4589

Hospital & facility affiliations

  • Integris Health Ponca City Hospital, Ponca City, OK, CCN 370006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy35
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux40
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0420362KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Kansas Surgical Specialists, P.a. Surgery Current Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Nov 6, 2023 Accepting new patients
Purcell Municipal Hospital Current Accepting new patients
Integris Health Ponca City Hospital Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Integris Ambulatory Care C Orporation Past Accepting new patients

Locations

1400 Polk St
Great Bend, KS 67530
Phone (316) 792-3777

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

121 Patton Dr
Ponca City, OK 74601
Phone (580) 762-6676

1908 N 14th St
Ste 202
Ponca City, OK 74601
Phone (580) 718-4501

1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250

Interoperability endpoints

  • Direct secure messaging: wslater491388@direct.integrisok.com
  • Direct secure messaging: slater-william.slater.1@4696.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1194778951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N 14TH ST STE 202",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012039",
            "telephone_number": "580-718-4506",
            "fax_number": "580-762-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ALBERT AVE",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678716117",
            "telephone_number": "620-872-2781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1908 N 14th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Ponca City",
            "state": "OK",
            "postal_code": "746012039",
            "country_code": "US",
            "telephone_number": "580-718-4506",
            "fax_number": "580-762-3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLATER",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0420362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020037172",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100177090B",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slater-william.slater.1@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1908 N 14th St Ste 202",
            "city": "Ponca City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "746012039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scott City, KS

Sources for this page

Verify at the official NPI Registry.