Travis J Slaba, PA-C
Individual provider Active NPI Medical Physician Assistant · Harrisburg, SD
NPI 1295732709 · NPPES record last updated Apr 19, 2022
Key facts
- NPI
- 1295732709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 0541 (SD)
- Practice address
- 220 S Cliff Ave Ste 120
Harrisburg, SD 57032-2117 - Phone
- (605) 213-8000
- Fax
- (605) 213-8005
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 27
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Avera McKennan
Practice addresses (Care Compare)
1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 336-2140
1910 W 69TH St
Sioux Falls, SD 57108-5612
Phone (605) 322-5200
Hospital & facility affiliations
- Avera @ Home
- Avera McKennan Hospital & University Health Center
- Sanford Usd Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040203000876 | SD | Practitioner - Physician Assistant | 2264325356 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huron Regional Medical Center Inc | Current |
Accepting new patients | |
| Avera McKennan | Current |
Accepting new patients | |
| Huron Regional Medical Center Inc | Current |
Accepting new patients | |
| Avera McKennan | Physician Assistant | Current |
Accepting new patients |
| Huron Laboratory SVC PC | Current | Accepting new patients |
Locations
300 22nd Ave
Brookings, SD 57006
Phone (605) 692-6351
220 S Cliff Ave
Ste 120
Harrisburg, SD 57032
Phone (605) 213-8000
172 4th St SE
Huron, SD 57350
Phone (605) 353-6593
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
1200 S 7th Ave
Sioux Falls, SD 57105
Phone (605) 336-2140
Interoperability endpoints
- travis.slaba@avera.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0541 | SD | |
| Medical Physician Assistant | 363AM0700X | 0541 | SD | Yes |
Addresses
Primary practice location
220 S Cliff Ave Ste 120
Harrisburg, SD 57032-2117
Mailing address
1200 S 7TH Ave
Sioux Falls, SD 57105-0900
Phone (605) 504-5400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6824970 | Medicaid | SD |
Other providers in Harrisburg, SD
- Seth Thomas Schroeder
- Shawd Harrisburg Dental Clinic PC
- Sioux Empire Mobility Services LLC
- Sioux Empire Mobility Services LLC
- Siouxland Wheelchair Transit
- Hailee Anne Smith
- Janice Ann Smith
- Angela Rae Sonnenschein
- Laura Steichen
- Melissa Ann Stevens
All providers in Harrisburg, SD · Medical Physician Assistant in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.