Provider Demographics
NPI:1922768530
Name:SLOAT FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:SLOAT FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:ADRIAN
Authorized Official - Last Name:SLOAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-408-2927
Mailing Address - Street 1:10026-A SOUTH MINGO ROAD PMB 293
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-5700
Mailing Address - Country:US
Mailing Address - Phone:405-408-2927
Mailing Address - Fax:
Practice Address - Street 1:1200 W ALBANY ST
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-8146
Practice Address - Country:US
Practice Address - Phone:405-994-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes283X00000XHospitalsRehabilitation Hospital
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty