Organization Active NPI

Randall J Slickers, M.D., P.C.

  • Family Medicine Physician
  • Twin Falls, ID
National Provider Identifier
1790723690
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RANDALL J SLICKERS, M.D., P.C.
Practice address
1235 Filer Ave E
Twin Falls, ID 83301-4118
Phone
(208) 734-3226
Fax
(208) 734-3675
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Randall J Slickers, M.D.
Title
Physician
Phone
(208) 734-3226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1235 Filer Ave E
Twin Falls, ID 83301-4118

Mailing address

1235 Filer Ave E
Twin Falls, ID 83301-4118
Phone (208) 734-3226

Other identifiers 2

IdentifierTypeStateIssuer
080105158OtherIDRR MEDICARE
003957900MedicaidID

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1790723690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 FILER AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014118",
            "telephone_number": "208-734-3226",
            "fax_number": "208-734-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 FILER AVE E",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014118",
            "telephone_number": "208-734-3226",
            "fax_number": "208-734-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL J SLICKERS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "SLICKERS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "208-734-3226",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080105158",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003957900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.