MR. MARK S SLAUGHTER (NPI# 1912009739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912009739 |
| Entity Type | Individual |
| Full Name | MR. MARK S SLAUGHTER |
| Credential | PT |
| Practice Address |
219 2nd Ave. Suite C Edwardsville IL 62025-2556 |
| Practice Telephone | 6186565433 |
| Practice Fax Number | 6186565437 |
| Mailing Telephone | 6186565433 |
| Mailing Fax Number | 6186565437 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2008-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE | P00019088 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 06032038 | 01 |
| IL | HEALTHLINK | 514168 | 01 |
| IL | AETNA | 4650113 | 01 |
| MO | BLUE CROSS BLUE SHIELD | 167276 | 01 |
| IL | UNITED HEALTHCARE | 6400479 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013113042 | Mark Anthony Slaughter Sr. | Counselor | 769 W Blaine St, Riverside, CA 92507-3970 | 2007-06-26 |
| 1326034760 | Mark Sullivan Slaughter | Surgery | 201 Abraham Flexner Way, Suite 1200, Louisville, KY 40202-3841 | 2005-09-21 |
| Street Address |
219 2ND AVE. SUITE C |
| City | EDWARDSVILLE |
| State | IL |
| Zip Code | 62025-2556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619519535 | Anderson Surgery Center LLC | Clinic/Center | 3403 Anderson Healthcare Drive, Edwardsville, IL 62025 | 2019-10-11 |
| 1194376640 | Katharine Mcginnis D.m.d. P.C. | Dentist | 235 A. South Main St, Edwardsville, IL 62025 | 2019-09-26 |
| 1568925014 | Southern Illinois Pediatric Dentistry of Edwardsville | Dentist | 1419 Lewis Road, Suite 2, Edwardsville, IL 62025 | 2019-04-11 |
| 1902277031 | Amy Lynn Britt | Nurse Practitioner | 1188 South State Route 157, Edwardsville, IL 62025 | 2015-10-15 |
| 1730563230 | Jenna Dallman | Chiropractor | 3 Sunset Hills Professional Center, Suite 2, Edwardsville, IL 62025 | 2015-07-14 |
| 1861745218 | Srimannarayana Marella | Family Medicine | 6616 Center Grove Rd., Edwardsville, IL 62025 | 2012-10-23 |
| 1669722872 | Ican Clinic LLC | Chiropractor | 441 S State Route 157 Ste 2, Edwardsville, IL 62025 | 2012-09-14 |
| 1922371673 | Teresa Marie Garbett | Pharmacist | 2 Sunset Hills Executive Park Dr., Addiction Treatment Strategies, Edwardsville, IL 62025 | 2012-02-10 |
| 1831324342 | Krista Nicole Nelson | Podiatrist | 235 S Main St Ste B, Edwardsville, IL 62025 | 2009-05-28 |
| 1447415757 | Harvey H Breckner D.m.d.,m.s | Exclusive Provider Organization | 600 Country Club View Suite 4, Edwardsville, IL 62025 | 2008-07-25 |
| Find all providers in zip 62025 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750699054 | Heather Sue Jenny | Physical Therapist | 3344 Piazza Ln, Edwardsville, IL 62025-3225 | 2010-09-21 |
| 1275850299 | Alicia Flach | Physical Therapist | 901 St. Louis St, Edwardsville, IL 62025-6443 | 2010-04-30 |
| 1649509324 | Ellen Degen Milton | Physical Therapist | 219 E Vandalia St, Edwardsville, IL 62025-1766 | 2009-12-09 |
| 1871717090 | Warmouth Therapy Inc. | Physical Therapist | 9 Stonehill Ct, Edwardsville, IL 62025-6764 | 2007-04-11 |
| 1437373651 | Dana Warmouth | Physical Therapist | 116 Winters Trl, Edwardsville, IL 62025-5704 | 2007-04-11 |
| 1922129352 | Mark Slaughter PC | Physical Therapist | 219 2nd Ave, Suite C, Edwardsville, IL 62025-2556 | 2007-04-03 |
| 1265556245 | Rachael Diane Lynn | Physical Therapist | 1047 Century Drive, Edwardsville, IL 62025-3772 | 2007-03-16 |
| 1942365267 | Amanda Hessel | Physical Therapist | 6654 Edwardsville Crossing Dr, Ste G, Edwardsville, IL 62025-2706 | 2006-12-27 |
| 1659481737 | Christopher John Amick | Physical Therapist | 1047 Century Dr, Edwardsville, IL 62025-3772 | 2006-08-30 |
| 1689215642 | Mary K Lehnen | Physical Therapist | 1047 Century Dr, Edwardsville, IL 62025-3772 | 2019-10-01 |
| Find all providers in EDWARDSVILLE | ||||
| City | EDWARDSVILLE |
| Zip Code | 62025 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.