Individual provider Active NPI

Lawrence Dean Sluiter, PA-C

  • Physician Assistant
  • Onida, SD
National Provider Identifier
1790934412
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0690 Issued in SD
Practice address
303 S Main St
Onida, SD 57564-2160
Phone
(605) 258-2635
Fax
(605) 258-2499
NPI assigned
Sep 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0690 SD Primary

Addresses

Primary practice location

303 S Main St
Onida, SD 57564-2160

Mailing address

303 S Main St
P.O.Box 23
Onida, SD 57564-2160
Phone (605) 258-2635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130918000584 MI Practitioner - Physician Assistant 1052471786 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0690SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Rest Christian Mental Health Services CurrentSince May 4, 2019 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince May 4, 2019 Accepting new patients
Metropolitan Enterprises Inc. Physician Assistant Past Accepting new patients

Locations

300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1790934412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "address_2": "P.O.BOX 23",
            "city": "ONIDA",
            "state": "SD",
            "postal_code": "575642160",
            "telephone_number": "605-258-2635",
            "fax_number": "605-258-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S MAIN ST",
            "city": "ONIDA",
            "state": "SD",
            "postal_code": "575642160",
            "telephone_number": "605-258-2635",
            "fax_number": "605-258-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUITER",
        "first_name": "LAWRENCE",
        "middle_name": "DEAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "0690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onida, SD

Sources for this page

Verify at the official NPI Registry.