Robert W Slack, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

53766721204 Issued in UT

Practice address

3300 N Ashton Blvd Ste 450
Lehi, UT 84048-5340

Phone

(385) 455-7170

Fax

(888) 823-5887

NPI assigned

Jul 29, 2006

Last updated

Jul 14, 2026By 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 6

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, AZ, CO, TX, PA5 enrollments

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 5

Specialty

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Symbii Home Health South Home health agency, Murray, UT, CCN 467342
• American Fork Hospital Hospital, American Fork, UT, CCN 460023
• Intermountain Health Utah Valley Hospital Hospital, Provo, UT, CCN 460001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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.

• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154
  Medicare reassignment Care Compare group NPD
• Forward Medical PC

  • General Practice Physician
  • Lehi, UT
  • NPI 1245039940

  AZ, CO, Family Medicine, PA, TX

  Medicare reassignment NPD
• Utah Modern Medical LLC

  • General Practice Physician
  • Lehi, UT
  • NPI 1689310948

  Family Medicine

  Medicare reassignment NPD
• Forward Medical Group PC

  • Family Medicine Physician
  • West Hollywood, CA
  • NPI 1457281214
  Authorized official Same address or phone
• Ihc Health Services Inc

  dba McKay Dee Peds CS Sedation

  • Pediatric Anesthesiology Physician
  • Ogden, UT
  • NPI 1790089530
  NPD
• Ihc Health Services, Inc.

  dba St George Adolescent Partial Hospitalization

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD
• Ihc Health Services Inc

  dba Orem Community Hospital Physicians

  • Multi-Specialty Clinic/Center
  • Orem, UT
  • NPI 1588601124
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Exemplar Healthcare, Inc.

  dba Symbii Home Health South

  • Home Health Agency
  • Murray, UT
  • NPI 1164901484
  Care Compare affiliation
• Ihc Health Services, Inc.

  dba Intermountain Health Utah Valley Hospital

  • General Acute Care Hospital
  • Provo, UT
  • NPI 1114025491
  Care Compare affiliation
• Ihc Health Services, Inc.

  dba Intermountain Health Infusion Center- Spanish Fork, A Service of Utah Valley Hospital

  • Infusion Therapy Clinic/Center
  • Spanish Fork, UT
  • NPI 1679426944

  Hospital

  Care Compare affiliation
• Ihc Health Services, Inc.

  dba Intermountain Health American Fork Hospital

  • General Acute Care Hospital
  • American Fork, UT
  • NPI 1912014358
  Care Compare affiliation
• Ihc Health Services, Inc.

  dba Intermountain Health Infusion Center- American Fork, A Service of Utah Valley Hospital

  • Infusion Therapy Clinic/Center
  • American Fork, UT
  • NPI 1982557252

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1467467399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N ASHTON BLVD STE 450",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840485340",
            "telephone_number": "385-455-7170",
            "fax_number": "888-823-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 N ASHTON BLVD STE 450",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840485340",
            "telephone_number": "385-455-7170",
            "fax_number": "888-823-5887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "495 E Abington Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191182906",
            "country_code": "US",
            "telephone_number": "384-455-7170",
            "fax_number": "888-823-5887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3218 E Bell Road",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322727",
            "country_code": "US",
            "telephone_number": "385-455-7170",
            "fax_number": "888-823-5887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3128 E Desert Cove Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850282610",
            "country_code": "US",
            "telephone_number": "385-455-7170 x242",
            "fax_number": "888-823-5887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 Stone Way N",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981037485",
            "country_code": "US",
            "telephone_number": "385-455-7170",
            "fax_number": "888-823-5887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3128 E Desert Cove Avenue",
            "address_2": "Desert Bloom Assisted Living",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850282610",
            "country_code": "US",
            "telephone_number": "385-455-7170",
            "fax_number": "888-823-5887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2929 W Holcombe Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770251534",
            "country_code": "US",
            "telephone_number": "385-455-7170",
            "fax_number": "888-823-5887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10968 N Alpine Hwy",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "UT",
            "postal_code": "840038874",
            "country_code": "US",
            "telephone_number": "801-763-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 S Colorado Blvd",
            "address_2": "Sunrise at Cherry Creek Assisted Living",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802461043",
            "country_code": "US",
            "telephone_number": "385-455-7170",
            "fax_number": "888-823-5887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLACK",
        "first_name": "ROBERT",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "011510",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "53766721204",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CDR.0005337",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "W2225",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS025588",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "DO.OP.70072856-IMLC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine T. Simmons, LCMHC
• Brooklyn Kaye Simon, OTR/L
• Jacob Simpson
• Megan Elizabeth Singerman, RN
• Sahara Skagen, CF-MS SLP
• Marilee Slade, DNP
• Annika Slater, RN
• Aaron David Smalley, M.D.
• Smart & Gibbs (Smart Skin Dermatology)
• David Ross Smart, M.D.

• Family Medicine Physician in Lehi, UT
• Providers in Lehi, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.
• 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.