Provider Demographics
NPI:1275592891
Name:SLAYTON, ROBERT I (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:I
Last Name:SLAYTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 PENN AVE
Mailing Address - Street 2:SUITE 2100
Mailing Address - City:WILKINSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2148
Mailing Address - Country:US
Mailing Address - Phone:412-371-1775
Mailing Address - Fax:412-371-3904
Practice Address - Street 1:225 PENN AVE
Practice Address - Street 2:SUITE 2100
Practice Address - City:WILKINSBURG
Practice Address - State:PA
Practice Address - Zip Code:15221-2148
Practice Address - Country:US
Practice Address - Phone:412-371-1775
Practice Address - Fax:412-371-3904
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD022354E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00087035900002Medicaid
260003373OtherUNITED HEALTH CARE MEDICA
PA110928OtherPA BLUE SHIELD
251719945OtherTRI CARE NORTH REGION
260003373OtherUNITED HEALTHCARE
0000110328OtherHIGHMARK BLUE CROSS
205489OtherUPMC HEALTH PLAN
087035901OtherGREENSPRING OF WEST PA
110928Medicare ID - Type Unspecified
260003373OtherUNITED HEALTH CARE MEDICA