Slentz Surgical LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SLENTZ SURGICAL LLC

Practice address

319 W Call St
BLDG B Ste a
Starke, FL 32091-3113

Phone

(908) 368-8100

Fax

(908) 368-8120

NPI assigned

Jun 16, 2011

Last updated

Jun 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin D Slentz, MD

Title

Owner

Phone

(908) 368-8100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1659666808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W CALL ST",
            "address_2": "BLDG B STE A",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913113",
            "telephone_number": "908-368-8100",
            "fax_number": "908-368-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W CALL ST",
            "address_2": "BLDG B STE A",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320913113",
            "telephone_number": "908-368-8100",
            "fax_number": "908-368-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLENTZ SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "SLENTZ",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-368-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Starke, FL
• Providers in Starke, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.