Individual provider Active NPI

Linda A Slavoski, MD

  • Infectious Disease Physician
  • Wilkes Barre, PA
National Provider Identifier
1386693687
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD048865L Issued in PA
Practice address
545 N River St
Suite 205
Wilkes Barre, PA 18702-2600
Phone
(570) 822-6036
Fax
(570) 829-1520
NPI assigned
May 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD048865L PA Primary

Addresses

Primary practice location

545 N River St
Suite 205
Wilkes Barre, PA 18702-2600

Mailing address

545 N River St
Suite 205
Wilkes Barre, PA 18702-2600
Phone (570) 822-6036

Other identifiers 6

IdentifierTypeStateIssuer
0014227930006MedicaidPA
801211OtherPAFIRST PRIORITY HEALTH
101302OtherPAUNISON HEALTH PLAN
16665OtherPAGEISINGER HEALTH PLAN
080366OtherPAHIGHMARK BLUE SHIELD
080366OtherPAFIRST PRIORITY LIFE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20111230000126 PA Practitioner - Infectious Disease 3678749363 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD048865LPAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wyoming Valley Infectious Disease Assoc, PC Infectious Disease CurrentSince Jul 1, 1996 Accepting new patients

Locations

545 N River St
Ste 205
Wilkes Barre, PA 18702
Phone (570) 822-6036

107 Loomis St
Wilkes Barre, PA 18702
Phone (570) 822-6036

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1386693687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N RIVER ST",
            "address_2": "SUITE 205",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022600",
            "telephone_number": "570-822-6036",
            "fax_number": "570-829-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N RIVER ST",
            "address_2": "SUITE 205",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187022600",
            "telephone_number": "570-822-6036",
            "fax_number": "570-829-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAVOSKI",
        "first_name": "LINDA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-06",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD048865L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014227930006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "801211",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH PLAN",
            "identifier": "101302",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "16665",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "080366",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY LIFE",
            "identifier": "080366",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.