NPI age
9 years
Enumerated 2017-04-04
● Active
Type 1 · Individual
Michael Slack, DO
Slack is 1 of 50 family medicine providers in Caldwell and 1 of 1691 in Idaho.
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
ID, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-02-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1691 active family medicine providers in Idaho.
NPI age
9 years
↓ 8 yr below median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2017 → 2026
2017-04Enumerated in NPPES
2017
2026
Where they practice
Practice location
4815 Cleveland Blvd
Caldwell, ID 836056501
Mailing address
5111 N Travis St Apt 221
Sherman, TX 750924073
Additional practice locations
1 secondary location on file with NPPES.
Location 2
5016 N Us Hwy 75
Denison, TX 75020
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
Recently enumerated nearby: 4 new family medicine providers have been added in Caldwell in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.