Organization Active NPI

Salli Smith Slone, MD, PSC

  • Dermatology Physician
  • Danville, KY
National Provider Identifier
1689863722
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
32347 Issued in KY
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Authorized official

Name
Salli Smith Slone, MDNPI 1083618326
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
65907677MedicaidKY
6435OtherKYMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050927000580 KY Part B Supplier - Clinic/Group Practice 1254366446 Receives reassigned benefits from 3 practitioners
Practice locations: Danville, KY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.