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

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (144 clinicians)

Practice addresses (Care Compare)

401 N Ewing St
Lancaster, OH 43130-3372
Phone (740) 689-6680

Hospital & facility affiliations

  • Fairfield Medical Center Hospital · Lancaster, OH · CCN 360072
  • Hocking Valley Community Hospital Hospital · Logan, OH · CCN 361330

Merit-based Incentive Payment System (MIPS)

Final score
76.95 of 100 (group)
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 IDStateProvider typePAC IDDetails
I20150728006123 OH Practitioner - Internal Medicine 0446578488 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
AP2282058A12OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfield Healthcare Professionals, Inc. Current
since Jul 1, 2017
Accepting new patients
Fairfield Healthcare Professionals Inc Current
since Jul 1, 2017
Accepting new patients
Community Hospitalist, LLC Internal Medicine Current
since Jul 1, 2015
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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f17aed19-e2f6-49d4-bba0-64508a2357d2/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 31, 2012.

{
    "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

All providers in Lancaster, OH · Internal Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.