Michael Brian Slater, AU. D.

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

9710 Sam Furr Rd Unit D
Huntersville, NC 28078-4928

Phone

(704) 896-1909

NPI assigned

May 8, 2020

Last updated

Aug 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Lake Ears Nose and Throat PAGroup PAC ID 7517126071, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South Lake Ears Nose & Throat PA

  • Otolaryngology Physician
  • Huntersville, NC
  • NPI 1154695872
  Medicare reassignment Care Compare group NPD
• South Lake Audiology, Inc.

  dba Birkdale Audiology

  • Hearing and Speech Clinic/Center
  • Huntersville, NC
  • NPI 1578058806
  NPD (past)

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1417579855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 SAM FURR RD UNIT D",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784928",
            "telephone_number": "704-896-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 SAM FURR RD UNIT D",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784928",
            "telephone_number": "704-896-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "MICHAEL",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "AU. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF EXAMINERS IN SPEECH & LANGUAGE PATHOLOGY & AUDIOLOGY",
            "identifier": "14396",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer E Sipp, M.A., LPA, HSP-PA
• Chelsey Brennan Sisko, PA
• Erin Elizabeth Skitt
• Lila Estelle Skropeta, PA-C
• Michael Thomas Skropeta, PA-C
• Anastasia V. Slisenko, DNP
• Kristy Smith Johnson
• Samantha Smith-Bowman, R.D.
• Alexis Christine Smith, D.O.
• Arley Corinne Smith, LPC, LCMHC

• Audiologist in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Audiologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.