MR. MALCOLM WALTON SLATON PA-C
NPI 1730174897
Physician Assistant - Medical in Longmont, CO

Active since September 15, 2005
1014 PRIMROSE AVE, LONGMONT, CO 80301(303) 704-6504(720) 652-4774 Get Directions Write a Review

NPPES record last updated: September 6, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Malcolm Walton Slaton Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MALCOLM WALTON SLATON PA-C (NPI 1730174897) is an individual medical provider in Longmont, Colorado, licensed in Colorado (919) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1730174897
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MALCOLM WALTON SLATONCredential: PA-C
Location Address1014 PRIMROSE AVELongmont, CO 80301
Mailing Address5704 Capistrano WayFrederick, CO 80504-9712 · (303) 704-6504 · Fax (720) 652-4774
Fax(720) 652-4774
Sole ProprietorNo
Enumeration DateSeptember 15, 2005
Last NPPES UpdateSeptember 6, 2013
NPI 1730174897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in CO · 919 Licensed in SC · 521 Licensed in NC · 103150 Licensed in IL · 212
Also ListedPhysician AssistantTaxonomy 363A00000X · License 919 (CO)
1014 PRIMROSE AVE, Longmont, CO 80301

Other Names 1

Other Name (5)Matt Slaton Pa-c

Other Identifiers 7

Medicare UPINS77538
Other103150NC · State License
Other212IL · State License
Other521SC · State License
Other919CO · State License
Medicare ID-Type Unspecified806835
Medicaid87986710CO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Malcolm Slaton's NPI number?

The NPI number for Malcolm Slaton is 1730174897. It was assigned to this individual provider in the NPPES registry on September 15, 2005. The provider is also known as Matt Slaton Pa-C.

Where is Malcolm Slaton located?

Malcolm Slaton practices at 1014 Primrose Ave, Longmont, CO 80301. The listed phone number is (303) 704-6504.

What is Malcolm Slaton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Malcolm Slaton was last updated on September 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.