NPIMap

Individual provider Active NPI

Robert Slackman, MD

  • Reproductive Endocrinology Physician
  • Sarasota, FL
National Provider Identifier
1609842954
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
0101-053475 Issued in VA
Practice address
736 Central Ave
Sarasota, FL 34236-4042
Phone
(540) 985-4099
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101-053475 VA
Reproductive Endocrinology Physician 207VE0102X 0101-053475 VA Primary

Addresses

Primary practice location

736 Central Ave
Sarasota, FL 34236-4042

Mailing address

736 Central Ave
Sarasota, FL 34236-4042

Other identifiers 2

IdentifierTypeStateIssuer
6206816MedicaidVA
1609842954MedicaidVA

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
0101-053475VAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Southwest and Central Florida Inc Past Accepting new patients
Carilion Medical Center Past Accepting new patients
Carilion Emergency Services Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robert.slackman.p1@direct.ppswcf.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1609842954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 CENTRAL AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CENTRAL AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364042",
            "telephone_number": "540-985-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLACKMAN",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101-053475",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "VA",
            "license": "0101-053475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6206816",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609842954",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.