Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Slack, DO

Individual provider Family Medicine Physician · NPI 1679006076

Michael Slack, DO is a Family Practice in Caldwell, Idaho. Qualified in 2017, 9 years ago. Practices with Alliance Medical Group LLC, a 130-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Texas.

Years since qualifying
9
Licensed in
ID, TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4815 Cleveland Blvd
Caldwell, ID 83605-6501
Phone: (208) 455-3545
Fax: (208) 454-9690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5016 N Us Hwy 75, Denison, TX 75020 — (903) 416-4000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-1447 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence S3590 (TX)

Record details

NPI number1679006076
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 4, 2017
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024
Mailing address5111 N Travis St Apt 221, Sherman, TX 75092-4073

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Alliance Medical Group Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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