James Jonathan Slater, D.O.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

5101015870 Issued in MI

Practice address

2611 Charlevoix Ave
Petoskey, MI 49770-8524

Phone

(231) 348-5900

Fax

(231) 348-5901

NPI assigned

Sep 28, 2007

Last updated

May 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Ohio University, College of Osteopathic Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy and ENT Associates PLLCGroup PAC ID 4688660715, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allergy & ENT Associates, PLLC

  • Allergy & Immunology Physician
  • Lake Jackson, TX
  • NPI 1902820368
  Medicare reassignment Care Compare group NPD
• Northwoods Ear, Nose & Throat PC

  • Facial Plastic Surgery Physician
  • Petoskey, MI
  • NPI 1356394803
  Authorized official Same address or phone
• Allergy & ENT Associates, PLLC

  • Allergy & Immunology Physician
  • Montgomery, TX
  • NPI 1861059016
  NPD
• Austin Family Allergy & Asthma, PA

  dba Allergy & ENT Associates PLLC

  • Allergy & Immunology Physician
  • Austin, TX
  • NPI 1578625190
  NPD
• Bay Street Orthopaedics PLLC

  • Durable Medical Equipment & Medical Supplies
  • Gaylord, MI
  • NPI 1982238705
  NPD (past)
• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Cheboygan, MI
  • NPI 1316968043
  NPD (past)
• Community Memorial Hospital

  • Physician Assistant
  • Cheboygan, MI
  • NPI 1760571038
  NPD (past)
• Allergy & ENT Associates, PLLC

  • Allergy & Immunology Physician
  • Houston, TX
  • NPI 1093739450
  NPD (past)

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336694400000",
    "number": "1942497466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 CHARLEVOIX AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708524",
            "telephone_number": "231-348-5900",
            "fax_number": "231-348-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 CHARLEVOIX AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708524",
            "telephone_number": "231-348-5900",
            "fax_number": "231-348-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "JAMES",
        "middle_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2012-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MI",
            "license": "5101015870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0451601125",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, NORTHWOODS ENT",
            "identifier": "1356394803",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4832946-11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Leigh Simon, DNP, CRNA
• James Sinclair, OTRL
• Henry L Singer, M.D.
• Todd William Singleton, CRNA
• Sisu Wellness and Counseling, LLC
• Julie A Slifka, ATC
• Charles E Smith, PT
• Heather Jean Smith, CRNA
• Jeffrey D Smith, MD
• Jeffrey M Smith, PT

• Otolaryngology/Facial Plastic Surgery Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.