Active NPI
A David Slater, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Louisville, KY
National Provider Identifier
1457308454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 24173
- Practice address
- 201 Abraham Flexner Way
Suite 1200
Louisville, KY 40202-3841 - Phone
- (502) 561-2180
- Fax
- (502) 561-2190
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 24173 | KY | Primary |
Addresses
Primary practice location
201 Abraham Flexner Way
Suite 1200
Louisville, KY 40202-3841
Mailing address
201 Abraham Flexner Way
Suite 1200
Louisville, KY 40202-3841
Phone (502) 561-2180
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330002430 | Other | KY | MEDICARE RR |
| 64241730 | Medicaid | KY | |
| 100347660 | Medicaid | IN |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24173 | KY | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Cardiothoracic Surgical Associates PSC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Louisville, KY
- NPI 1952354797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1457308454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 ABRAHAM FLEXNER WAY",
"address_2": "SUITE 1200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023841",
"telephone_number": "502-561-2180",
"fax_number": "502-561-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ABRAHAM FLEXNER WAY",
"address_2": "SUITE 1200",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023841",
"telephone_number": "502-561-2180",
"fax_number": "502-561-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "A",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "KY",
"license": "24173",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "330002430",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64241730",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100347660",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.