Physician Compare National (NPI:1578521647)

HEALTHCARE PROVIDER: THOMAS SLOTA MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1578521647
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931298544
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071205000166
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SLOTA
	Individual professional last name
Provider First Name	THOMAS
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3070 N 51ST ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 402
	Group Practice or individual's line 2 address
City	MILWAUKEE
	Group Practice or individual's city
State	WI
	Group Practice or individual's state
Zip Code	532101661
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4144632459
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	520136
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WHEATON FRANCISCAN ST JOSEPH
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y