Active NPI
Edward Charles Sladek, MD
- Orthopaedic Surgery Physician
- Lansing, MI
National Provider Identifier
1548252919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 029042
- Practice address
- 1000 N Homer St
Lansing, MI 48912-4903 - Phone
- (517) 374-7022
- Fax
- (517) 374-7554
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 029042 | MI | Primary |
Addresses
Primary practice location
1000 N Homer St
Lansing, MI 48912-4903
Mailing address
1000 N Homer St
Lansing, MI 48912-4903
Phone (517) 374-7022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407394 | Medicaid | MI |
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 |
|---|---|---|---|
| 029042 | MI | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191283200000",
"number": "1548252919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 N HOMER ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489124903",
"telephone_number": "517-374-7022",
"fax_number": "517-374-7554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N HOMER ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489124903",
"telephone_number": "517-374-7022",
"fax_number": "517-374-7554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLADEK",
"first_name": "EDWARD",
"middle_name": "CHARLES",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2007-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "029042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407394",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.