Active NPI
Michael David Slomka, M.D.
- Orthopaedic Surgery Physician
- Pinellas Park, FL
National Provider Identifier
1811979636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME21558
- Practice address
- 6500 66TH St
Pinellas Park, FL 33781-5030 - Phone
- (727) 347-1286
- Fax
- (727) 345-3084
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME21558 | FL | Primary |
Addresses
Primary practice location
6500 66TH St
Pinellas Park, FL 33781-5030
Mailing address
7993 10TH Ave S0
St Petersburg, FL 33707
Phone (727) 458-6703
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044568100 | Medicaid | FL | |
| 255859 | Other | FL | AVMED |
| 4511661 | Other | FL | AETNA |
| 200009549 | Other | RAILROAD MEDICARE | |
| 52626 | Other | FL | BLUE CROSS BLUE SHIELD |
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 |
|---|---|---|---|
| 21558 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1811979636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7993 10TH AVE S0",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "33707",
"telephone_number": "727-458-6703",
"fax_number": "727-344-3048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 66TH ST",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337815030",
"telephone_number": "727-347-1286",
"fax_number": "727-345-3084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOMKA",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME21558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044568100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "255859",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4511661",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200009549",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "52626",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.