NPIMap

Individual provider Active NPI

Kala Burgener Slaton, MD

  • Obstetrics & Gynecology Physician
  • Conway, AR
National Provider Identifier
1568825354
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E-13138 Issued in AR
Practice address
2300 Robinson Ave
Conway, AR 72034-4945
Phone
(501) 548-6100
Fax
(501) 548-6105
NPI assigned
Mar 30, 2016
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X AR
Obstetrics & Gynecology Physician 207V00000X E-13138 AR Primary

Addresses

Primary practice location

2300 Robinson Ave
Conway, AR 72034-4945

Mailing address

2300 Robinson Ave
Conway, AR 72034-4945
Phone (501) 548-6100

Other names 1

  • Kala Burgener Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200925000748 AR Practitioner - Obstetrics/Gynecology 5698067965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Arizona College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2300 Robinson Ave
Conway, AR 72034-4945
Phone (501) 548-6100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-13138ARMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center Inc CurrentSince Aug 12, 2020 Accepting new patients
Conway Regional Medical Center Inc Obstetrics & Gynecology CurrentSince Aug 12, 2020 Accepting new patients
Conway Regional Medical Center Inc Past Accepting new patients

Locations

2300 Robinson Ave
Conway, AR 72034
Phone (501) 548-6100

2302 College Ave
Ste 201
Conway, AR 72034

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1568825354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 ROBINSON AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344945",
            "telephone_number": "501-548-6100",
            "fax_number": "501-548-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 ROBINSON AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344945",
            "telephone_number": "501-548-6100",
            "fax_number": "501-548-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATON",
        "first_name": "KALA",
        "middle_name": "BURGENER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-13138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALA",
            "last_name": "BURGENER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.