Active NPI
Lawrence S Slotnick, MD
- Pulmonary Disease Physician
- Madison, NC
National Provider Identifier
1477544674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 21720
- Practice address
- 401 W Decatur St
Madison, NC 27025-1913 - Phone
- (336) 548-9618
- Fax
- (336) 445-2227
- NPI assigned
- Nov 4, 2005
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 21720 | NC | Primary |
Addresses
Primary practice location
401 W Decatur St
Madison, NC 27025-1913
Mailing address
401 W Decatur St
Madison, NC 27025-1913
Phone (336) 548-9618
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8977075 | Medicaid | NC | |
| C3857 | Other | NC | MEDCOST |
| 4800239 | Other | NC | UNITED HEALTHCARE |
| 77075 | Other | NC | BCBS OF NC |
| 3683 | Other | NC | PARTNERS MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21720 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Rockingham Family Medicine PA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Madison, NC
- NPI 1548220882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477544674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 W DECATUR ST",
"city": "MADISON",
"state": "NC",
"postal_code": "270251913",
"telephone_number": "336-548-9618",
"fax_number": "336-445-2227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 W DECATUR ST",
"city": "MADISON",
"state": "NC",
"postal_code": "270251913",
"telephone_number": "336-548-9618",
"fax_number": "336-445-2227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOTNICK",
"first_name": "LAWRENCE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NC",
"license": "21720",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8977075",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "C3857",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "4800239",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "77075",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS MEDICARE",
"identifier": "3683",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.