Active NPI
James Leonard Slayton Jr., DO
- Internal Medicine Physician
- Beaumont, TX
National Provider Identifier
1649232976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K9471
- Practice address
- 85 Ih 10 N
Regents Park 1 BLDG. Suite 112
Beaumont, TX 77707-2538 - Phone
- (409) 239-5139
- Fax
- (409) 347-8856
- NPI assigned
- Apr 3, 2006
- Last updated
- May 12, 2017
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K9471 | TX | Primary |
Addresses
Primary practice location
85 Ih 10 N
Regents Park 1 BLDG. Suite 112
Beaumont, TX 77707-2538
Mailing address
85 Ih 10 N
Regents Park 1 BLDG. Suite 112
Beaumont, TX 77707-2538
Phone (409) 239-5139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145273204 | Medicaid | TX |
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 Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Deluca, D.O,, P.a. | Past | Accepting new patients | |
| Permian Premier Health Services, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1548031552
-
- Family Medicine Physician
- Eastland, TX
- NPI 1053570952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494547200000",
"number": "1649232976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 IH 10 N",
"address_2": "REGENTS PARK 1 BLDG. SUITE 112",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777072538",
"telephone_number": "409-239-5139",
"fax_number": "409-347-8856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 IH 10 N",
"address_2": "REGENTS PARK 1 BLDG. SUITE 112",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777072538",
"telephone_number": "409-239-5139",
"fax_number": "409-347-8856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAYTON",
"first_name": "JAMES",
"middle_name": "LEONARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2017-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K9471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145273204",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.