Individual provider Active NPI

Robert I Slayton, MD

  • Psychiatry Physician
  • Wilkinsburg, PA
National Provider Identifier
1275592891
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD022354E Issued in PA
Practice address
225 Penn Ave
Suite 2100
Wilkinsburg, PA 15221-2148
Phone
(412) 371-1775
Fax
(412) 371-3904
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD022354E PA Primary

Addresses

Primary practice location

225 Penn Ave
Suite 2100
Wilkinsburg, PA 15221-2148

Mailing address

225 Penn Ave
Suite 2100
Wilkinsburg, PA 15221-2148
Phone (412) 371-1775

Other identifiers 8

IdentifierTypeStateIssuer
00087035900002MedicaidPA
260003373OtherUNITED HEALTH CARE MEDICA
110928OtherPAPA BLUE SHIELD
251719945OtherTRI CARE NORTH REGION
260003373OtherUNITED HEALTHCARE
0000110328OtherHIGHMARK BLUE CROSS
205489OtherUPMC HEALTH PLAN
087035901OtherGREENSPRING OF WEST PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD022354EPAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1275592891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PENN AVE",
            "address_2": "SUITE 2100",
            "city": "WILKINSBURG",
            "state": "PA",
            "postal_code": "152212148",
            "telephone_number": "412-371-1775",
            "fax_number": "412-371-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PENN AVE",
            "address_2": "SUITE 2100",
            "city": "WILKINSBURG",
            "state": "PA",
            "postal_code": "152212148",
            "telephone_number": "412-371-1775",
            "fax_number": "412-371-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAYTON",
        "first_name": "ROBERT",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD022354E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087035900002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE MEDICA",
            "identifier": "260003373",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "110928",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI CARE NORTH REGION",
            "identifier": "251719945",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "260003373",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "0000110328",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "205489",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREENSPRING OF WEST PA",
            "identifier": "087035901",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkinsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.