Michael C Slack

MD | Pediatric Cardiology | Male

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Complete Profile:

Michael C Slack basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Michael C Slack
Credential :	MD
Gender :	Male

Business Address:

Michael C Slack address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	22 S Greene St, N5w70c Baltimore, MD, 21201-1544 United States
Phone Number :	410-328-2427
Fax Number :	443-462-3137

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1588758940
NPI Entity Type :	Individual
First Enrolment Date :	02 Oct, 2006
Last Updated On :	05 Jan, 2015

Medicare Participation:

Michael C Slack participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	3375739659
Medicare Enrollment ID :	I20101129000698
Primary Specialty :	Pediatric Medicine
Medical School :	Uniformed Services Uhs Fe Hebert School Of Med
Graduation Year :	1983
Accepts Medicare?	Yes. Michael C Slack accepts medicare insurance.

Group Practice Association:

Michael C Slack is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Michael C Slack is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Medstar Heart Institute Llc	5698932960	167	110 Irving St Nw Washington, DC - 200103017 Ph: 2028772851	Yes
University Of Maryland Pediatric Associates, Pa	6800888678	34	110 Irving St Nw Washington, DC - 200102978 Ph: 2028775975	Yes
University Of Maryland Pediatric Associates, Pa	6800888678	34	22 S Greene St Fl 5 Baltimore, MD - 212011544 Ph: 4107065181	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael C Slack are as mentioned. Primary taxonomy code for Michael C Slack, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	No	MD31860	DC
2080P0202X	Pediatrics Pediatric Cardiology	Yes	D55380	MD

Legacy Identifiers:

Other legacy medical identifiers of Michael C Slack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
202009201	MEDICAID	MD
202009200	MEDICAID	MD
6731538	MEDICAID	VA
0614	Other	DC	CAREFIRST
028095100	MEDICAID	DC

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 62063 Baltimore, MD, 21264-2063 United States
Phone Number :	410-706-5181
Fax Number :	410-706-5103

Business Location:

Patients can refer following map for directions to Michael C Slack practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.