Individual provider Active NPI

Lawrence S Slotnick, MD

  • Pulmonary Disease Physician
  • Madison, NC
National Provider Identifier
1477544674
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
21720 Issued in NC
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8977075MedicaidNC
C3857OtherNCMEDCOST
4800239OtherNCUNITED HEALTHCARE
77075OtherNCBCBS OF NC
3683OtherNCPARTNERS 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

LicenseStateTypeSpecialty
21720NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.