Amanda Lea Slater, D.O.
Individual provider Active NPI Internal Medicine Physician · Lancaster, OH
NPI 1770844367 · NPPES record last updated May 31, 2012
Key facts
- NPI
- 1770844367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- AP2282058A12 (OH)
- Practice address
- 401 N Ewing St
Lancaster, OH 43130-3372 - Phone
- (740) 687-8651
- Fax
- (740) 687-8143
- NPI assigned
- May 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairfield Healthcare Professionals Inc
Practice addresses (Care Compare)
401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 689-6680
Hospital & facility affiliations
- Fairfield Medical Center
- Hocking Valley Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.95 of 100
- Quality
- 43.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.51
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150728006123 | OH | Practitioner - Internal Medicine | 0446578488 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP2282058A12 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield Healthcare Professionals, Inc. | Current |
Accepting new patients | |
| Fairfield Healthcare Professionals Inc | Current |
Accepting new patients | |
| Community Hospitalist, LLC | Internal Medicine | Current |
Accepting new patients |
| Fairfield Medical Center | Past | Accepting new patients | |
| Fairfield Medical Center | Past | Accepting new patients |
Locations
401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000
131 N Ewing St
Ste C
Lancaster, OH 43130
Phone (740) 689-6600
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/f17aed19-e2f6-49d4-bba0-64508a2357d2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | AP2282058A12 | OH | Yes |
Addresses
Primary practice location
401 N Ewing St
Lancaster, OH 43130-3372
Mailing address
401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 687-8651
NPI Registry JSON
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1770844367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N EWING ST",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431303372",
"telephone_number": "740-687-8651",
"fax_number": "740-687-8143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N EWING ST",
"city": "LANCASTER",
"state": "OH",
"postal_code": "431303372",
"telephone_number": "740-687-8651",
"fax_number": "740-687-8143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATER",
"first_name": "AMANDA",
"middle_name": "LEA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "AP2282058A12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, OH
- Kanwaljit Singh
- Shantanu Sinha
- Teresa Durbak Sipos
- Keisha Dawn Skaggs
- Kelly Skaggs
- Beth Sleeper
- Tamara Slicer
- Judith Ellen Smalley
- Aaron Smith
- Amanda Dawn Smith
All providers in Lancaster, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.