Individual provider Active NPI

Stephen Eugene Sligh, DC

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1932177755
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 2577 Issued in FL
Practice address
425 S Florida Ave
Lakeland, FL 33801-5226
Phone
(863) 686-4149
Fax
(863) 683-4888
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 2577 FL Primary

Addresses

Primary practice location

425 S Florida Ave
Lakeland, FL 33801-5226

Mailing address

PO Box 873
Lakeland, FL 33802-0873
Phone (863) 686-4149

Other identifiers 4

IdentifierTypeStateIssuer
0805970OtherFLAETNA INSURANCE NUMBER
89946OtherFLBLUECROSSBLUESHIELD INSUR
35004674OtherFLRAILROAD MEDICARE
380845900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100414000862 FL Practitioner - Chiropractic 1456447580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3242 S Florida Ave
Lakeland, FL 33803-4574
Phone (863) 686-4149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 2577FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sligh Clinic of Chiropractic Inc Chiropractor CurrentSince Oct 1, 1992 Accepting new patients

Locations

3242 S Florida Ave
Lakeland, FL 33803
Phone (863) 644-0880

425 S Florida Ave
Lakeland, FL 33801
Phone (863) 686-4149

Organizations & group practices 1

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1932177755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 873",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338020873",
            "telephone_number": "863-686-4149",
            "fax_number": "863-683-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015226",
            "telephone_number": "863-686-4149",
            "fax_number": "863-683-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIGH",
        "first_name": "STEPHEN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 2577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE NUMBER",
            "identifier": "0805970",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD INSUR",
            "identifier": "89946",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "35004674",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380845900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.