Individual provider Active NPI

William J Slichenmyer, M.D.

  • Medical Oncology Physician
  • Sherborn, MA
National Provider Identifier
1962773424
Registry record updated Jan 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
042482 Issued in CT
Practice address
121 Bogastow Brook Rd
Sherborn, MA 01770-1277
Phone
(508) 650-3403
NPI assigned
Jan 14, 2012
Last updated
Jan 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 042482 CT Primary
Medical Oncology Physician 207RX0202X D0041472 MD

Addresses

Primary practice location

121 Bogastow Brook Rd
Sherborn, MA 01770-1277

Mailing address

121 Bogastow Brook Rd
Sherborn, MA 01770-1277
Phone (508) 650-3403

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042482CTMDMedical Oncology Physician
D0041472MDMDMedical Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1326499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326499200000",
    "number": "1962773424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BOGASTOW BROOK RD",
            "city": "SHERBORN",
            "state": "MA",
            "postal_code": "017701277",
            "telephone_number": "508-650-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BOGASTOW BROOK RD",
            "city": "SHERBORN",
            "state": "MA",
            "postal_code": "017701277",
            "telephone_number": "508-650-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLICHENMYER",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-14",
        "last_updated": "2012-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CT",
            "license": "042482",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MD",
            "license": "D0041472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherborn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.