Active NPI
Michael M Slaughter, FNP
- Nurse Practitioner
- Sulphur Springs, TX
National Provider Identifier
1306151022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 687662
- Practice address
- 1216 Church St
Sulphur Springs, TX 75482-2108 - Phone
- (903) 885-2820
- Fax
- (903) 885-2989
- NPI assigned
- Aug 18, 2010
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 687662 | TX | Primary |
Addresses
Primary practice location
1216 Church St
Sulphur Springs, TX 75482-2108
Mailing address
2514 Larchmont Dr
Mesquite, TX 75150-5230
Phone (214) 558-1104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F0179018 | Other | TX | DPS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 687662 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interventional Partners PLLC | Current | Accepting new patients | |
| Interventional Partners PLLC | Current | Accepting new patients | |
| Charles J. Rodman, MD PA | Past | Accepting new patients | |
| East Texas Surgical Associates, PA | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Stride Healthcare
- Vascular & Interventional Radiology Physician
- Addison, TX
- NPI 1750814737
-
dba StrideCare
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
- NPI 1891513677
-
dba Vein Centers of Texas
- Vascular Surgery Physician
- Beaumont, TX
- NPI 1215092689
-
- Surgery Physician
- Beaumont, TX
- NPI 1497892152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1306151022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 LARCHMONT DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751505230",
"telephone_number": "214-558-1104",
"fax_number": "972-216-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 CHURCH ST",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754822108",
"telephone_number": "903-885-2820",
"fax_number": "903-885-2989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAUGHTER",
"first_name": "MICHAEL",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-18",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "687662",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS",
"identifier": "F0179018",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sulphur Springs, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.