Active NPI
Salli Smith Slone, MD, PSC
- Dermatology Physician
- Danville, KY
National Provider Identifier
1689863722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 32347
- Legal business name
- SALLI SMITH SLONE, MD, PSC
- Practice address
- 111 Daniel Drive
Danville, KY 40422-2527 - Phone
- (859) 236-0916
- Fax
- (859) 236-0917
- NPI assigned
- Oct 15, 2007
- Last updated
- Jan 23, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Salli Smith Slone, MD
- Title
- Owner/MD
- Phone
- (859) 236-0916
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 32347 | KY | Primary |
Addresses
Primary practice location
111 Daniel Drive
Danville, KY 40422-2527
Mailing address
P O Box 6
Danville, KY 40423-0006
Phone (859) 236-0916
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65907677 | Medicaid | KY | |
| 6435 | Other | KY | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
111 Daniel Dr
Danville, KY 40422
Phone (859) 236-0916
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Danville, KY
- NPI 1083618326
-
- Physician Assistant
- Danville, KY
- NPI 1295727592
-
- Physician Assistant
- Danville, KY
- NPI 1891751426
-
- Family Nurse Practitioner
- Lexington, KY
- NPI 1629062567
-
- Dermatology Physician
- Bardstown, KY
- NPI 1861590499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327276800000",
"number": "1689863722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 6",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404230006",
"telephone_number": "859-236-0916",
"fax_number": "859-236-0917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 DANIEL DRIVE",
"city": "DANVILLE",
"state": "KY",
"postal_code": "404222527",
"telephone_number": "859-236-0916",
"fax_number": "859-236-0917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALLI SMITH SLONE, MD, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-15",
"last_updated": "2012-01-23",
"status": "A",
"authorized_official_last_name": "SLONE",
"authorized_official_first_name": "SALLI",
"authorized_official_middle_name": "SMITH",
"authorized_official_title_or_position": "OWNER/MD",
"authorized_official_telephone_number": "859-236-0916",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "KY",
"license": "32347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65907677",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "6435",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.