Active NPI
Robert S. Slocum, MD
- General Practice Physician
- Windsor, VT
National Provider Identifier
1720045925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 4003
- Practice address
- 65 Union St
Windsor, VT 05089-1504 - Phone
- (413) 302-2538
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4003 | MT | |
| General Practice Physician | 208D00000X | 4003 | MT | Primary |
Addresses
Primary practice location
65 Union St
Windsor, VT 05089-1504
Mailing address
65 Union St
Windsor, VT 05089-1504
Phone (413) 302-2538
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-3329195 | Other | MA | NORTHEAST HEALTH DIRECT |
| 04-3329195 | Other | MA | NORTH AMERICAN PREFERRED |
| 04-3329195 | Other | MA | PHCS |
| 000000006700 | Other | MA | BMC |
| 042118 | Other | MA | TUFTS |
| 2381540 | Other | MA | AETNA |
| 04-3329195 | Other | MA | PLAN VISTA |
| 632919 | Other | MA | CONNECTICARE |
| J06893 | Other | MA | BCBS MA |
| 04-3329195 | Other | MA | CONSOLIDATED |
| 04-3329195 | Other | MA | NORTHEAST HEALTHCARE ALLI |
| 3029239 | Medicaid | MA | |
| 102520 | Other | MA | CIGNA |
| 24923 | Other | MA | HEALTH NEW ENGLAND |
| 04-3329195 | Other | MA | UNICARE/GIC |
| 438838 | Other | MA | HARVARD PILGRIM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4003 | MT | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Western Massachusetts Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1720045925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 UNION ST",
"city": "WINDSOR",
"state": "VT",
"postal_code": "050891504",
"telephone_number": "413-302-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 UNION ST",
"city": "WINDSOR",
"state": "VT",
"postal_code": "050891504",
"telephone_number": "413-302-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOCUM",
"first_name": "ROBERT",
"middle_name": "S.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MT",
"license": "4003",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MT",
"license": "4003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTH DIRECT",
"identifier": "04-3329195",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH AMERICAN PREFERRED",
"identifier": "04-3329195",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "04-3329195",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "000000006700",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "042118",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2381540",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PLAN VISTA",
"identifier": "04-3329195",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "632919",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J06893",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONSOLIDATED",
"identifier": "04-3329195",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTHCARE ALLI",
"identifier": "04-3329195",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3029239",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "102520",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "24923",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE/GIC",
"identifier": "04-3329195",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "438838",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windsor, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.