COURTNEY L. SLAGLE (NPI# 1063769008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063769008 |
| Entity Type | Individual |
| Full Name | COURTNEY L. SLAGLE |
| Credential | PA-C |
| Practice Address |
4151 Henderson Rd Hickory PA 15340 |
| Mailing Address |
1910 Cochran Rd Ste 490 Pittsburgh PA 15220-1203 |
| Practice Telephone | 7243562273 |
| Practice Fax Number | 7243562585 |
| Mailing Telephone | 4125312902 |
| Mailing Fax Number | 4125312948 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2018-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MA055594 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1031109670001 | 05 | |
| OH | 0195236 | 05 | |
| PA | MEDICARE | 288685RN0 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1302 7th Ave, Beaver Falls, PA 150104217 | 7248434400 | 7248430316 |
| 4151 Henderson Rd, Hickory, PA 15340 | 7243562273 | 7243562585 |
| 1423 Burgettstown Plz, Burgettstown, PA 150211187 | 7249474770 | 7243562585 |
| Street Address |
4151 HENDERSON RD |
| City | HICKORY |
| State | PA |
| Zip Code | 15340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861464414 | Michael Falcione | Family Medicine | 4151 Henderson Rd, Hickory, PA 15340-1439 | 2006-02-07 |
| 1487078572 | Preferred Primary Care Physicians | Family Medicine | 4151 Henderson Rd, Hickory, PA 15340-1439 | 2014-02-10 |
| 1053453829 | Hickory Family Practice | Non-Pharmacy Dispensing Site | 4151 Henderson Rd, Hickory, PA 15340-1439 | 2007-02-12 |
| 1437124260 | Sharpnack and Maskarinec Medical Group, PC | Family Medicine | 4151 Henderson Rd, Hickory, PA 15340-1439 | 2006-02-23 |
| 1154394872 | Kelly Sue Shelton | Family Medicine | 4151 Henderson Rd, Hickory, PA 15340-1439 | 2006-02-13 |
| 1922072552 | Bruce C Sharpnack | Family Medicine | 4151 Henderson Rd, Hickory, PA 15340-1439 | 2006-02-13 |
| 1386616886 | Bruce K Maskarinec | Family Medicine | 4151 Henderson Rd, Hickory, PA 15340-1439 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457804155 | Patricia A. Simpson, Lcsw, Bcd LLC | Social Worker | 60 Main Street, Hickory, PA 15340-0447 | 2016-07-28 |
| 1093870610 | Patricia Ann Simpson | Counselor | 60 Main St, Hickory, PA 15340-1117 | 2006-12-26 |
| 1043559065 | Megan K Glasser | Speech-Language Pathologist | 17 Eberle Rd, Hickory, PA 15340-1416 | 2013-02-12 |
| 1184709032 | Sherry Ann Raineri | Social Worker | 40 Robin Dr, Hickory, PA 15340-1501 | 2006-10-26 |
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649705278 | Jonathan Gross | Physician Assistant | 3169 12th Ave Se, Hickory, NC 28602-9666 | 2017-04-20 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1548462161 | Richard William Poole | Physician Assistant | 2280 Us Highway 70 Se, Hickory, NC 28602-5164 | 2007-06-05 |
| 1831259084 | Jimmy Edward Johnson | Physician Assistant | Mountain View Family Practice, 1940 Briarwood Drive, Hickory, NC 28602-5497 | 2006-12-11 |
| 1992754972 | Sonal Mistri Lane | Physician Assistant | 220 18th St Circle Se, Hickory, NC 28602 | 2006-05-08 |
| 1366441149 | Grace Mclaurin | Physician Assistant | 74 8th Street Se, Suite 101, Hickory, NC 28602-4942 | 2005-07-14 |
| 1356340137 | Denise Curtis | Physician Assistant | 716 Lenoir Rhyne Blvd Se, Hickory, NC 28602-4134 | 2005-07-14 |
| 1235622515 | Catherine Leah Nelson | Physician Assistant | 2810 16th St Ne, Hickory, NC 28601 | 2018-06-11 |
| 1568909042 | James Lisowski | Physician Assistant | 810 Fairgrove Church Rd, Hickory, NC 28602-9617 | 2017-01-23 |
| 1376909325 | Brian John Devlin | Physician Assistant | 30 13th Ave Nw, Hickory, NC 28601-3765 | 2016-01-06 |
| Find all providers in HICKORY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.