MEDICARE: TODD D SLATER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	35-050621	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	160054320	OTHER	OH	RAILROAD MEDICARE
8	363843	OTHER	OH	RHC MEDICARE CLINIC NUM.

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0653561	OTHER	OH	AETNA
3	000000198158	OTHER	OH	ANTHEM
4	0720464	OTHER	OH	UHC
5	311674981	OTHER	OH	OTHER FACILITY TAX ID NUM
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821080748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD D SLATER MD

Provider Business Mailing Address
First Line	:	PO BOX 637736
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-7736
Country	:	US
Telephone Number	:	513-891-1006
Fax Number	:	513-793-1032

Provider Business Practice Location Address
First Line	:	1487 N HIGH ST
Second Line	:	SUITE 102
City	:	HILLSBORO
State	:	OH
Zip	:	45133-8496
Country	:	US
Telephone Number	:	937-393-3406
Fax Number	:	937-393-0511

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	10/02/2012

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Directions to “ TODD D SLATER MD” Practice Location

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