Active NPI
Stephen Slajus DO PC
- Orthopaedic Surgery Physician
- Iron Mountain, MI
National Provider Identifier
1962703694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5101009759
- Legal business name
- STEPHEN SLAJUS DO PC
- Practice address
- 1711 S Stephenson Ave
Suite 100
Iron Mountain, MI 49801-3639 - Phone
- (906) 779-9870
- Fax
- (906) 779-5888
- NPI assigned
- Nov 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen C Slajus, DO
- Title
- President
- Phone
- (906) 779-9870
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5101009759 | MI | Primary |
Addresses
Primary practice location
1711 S Stephenson Ave
Suite 100
Iron Mountain, MI 49801-3639
Mailing address
1711 S Stephenson Ave
Suite 100
Iron Mountain, MI 49801-3639
Phone (906) 779-9870
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30052700 | Medicaid | WI | |
| 205220004 | Other | MI | BLUE CROSS MICHIGAN |
| 3011680 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
619 Washington Ave
Niagara, WI 54151
Phone (715) 251-3555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291593600000",
"number": "1962703694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 S STEPHENSON AVE",
"address_2": "SUITE 100",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498013639",
"telephone_number": "906-779-9870",
"fax_number": "906-779-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 S STEPHENSON AVE",
"address_2": "SUITE 100",
"city": "IRON MOUNTAIN",
"state": "MI",
"postal_code": "498013639",
"telephone_number": "906-779-9870",
"fax_number": "906-779-5888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN SLAJUS DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-11",
"last_updated": "2010-12-06",
"status": "A",
"authorized_official_last_name": "SLAJUS",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "906-779-9870",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "MI",
"license": "5101009759",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30052700",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS MICHIGAN",
"identifier": "205220004",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3011680",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iron Mountain, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.