JANTZEN T SLATER (NPI# 1063891570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063891570 |
| Entity Type | Individual |
| Full Name | JANTZEN T SLATER |
| Credential | MD |
| Practice Address |
199 E. Main St. Farmington AR 72730-3077 |
| Mailing Address |
Po Box 550 Lowell AR 72745 |
| Practice Telephone | 4792671001 |
| Practice Fax Number | 4792671026 |
| Mailing Telephone | 4794637775 |
| Mailing Fax Number | 4794637187 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2018-07-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E-11402 | AR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 9865992-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
199 E. MAIN ST. |
| City | FARMINGTON |
| State | AR |
| Zip Code | 72730-3077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073706370 | Exceed Physical Therapy, Inc. | Physical Therapist | 95 S Southwinds Rd, Suite 1, Farmington, AR 72730 | 2007-08-21 |
| 1134288228 | Melanie Nicole Alberty | Physical Therapy Assistant | 91 Neal, Farmington, AR 72730 | 2006-12-06 |
| 1689687329 | Terri Lynn Pinkham | Occupational Therapist | 91 E Neal, Hope for Tomorrow Pediatric Foundation, Farmington, AR 72730 | 2006-08-14 |
| 1497768139 | Pamela K Petray | Speech-Language Pathologist | 91 Neal St, Hope for Tomorrow, Farmington, AR 72730 | 2006-08-14 |
| 1790202596 | Chelsea Kaitlyn Coffelt | Occupational Therapist | 4 N Double Springs Rd, Farmington, AR 72730 | 2017-08-23 |
| 1083151104 | Zoe Loretta Allgood Mcgee | Speech-Language Pathologist | 4 N Double Springs Rd, Farmington, AR 72730 | 2017-01-26 |
| 1467869248 | Bridget Starnes | Occupational Therapist | 120 Southwinds Rd Ste 2, Farmington, AR 72730 | 2014-07-14 |
| 1669694139 | Nancy Marie Whitten | Speech-Language Pathologist | 91 Neal, Hope for Tomorrow, Farmington, AR 72730 | 2007-05-03 |
| 1538292305 | Robert Lee Brewer | Dentist | 19 West Main St, Farmington, AR 72730 | 2007-03-13 |
| 1295835122 | Rickie Lynn Porter | Pharmacist | 197 E Main St, Farmington, AR 72730 | 2006-09-22 |
| Find all providers in zip 72730 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family 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 family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757915 | Tuta Sano Pllc | Family Medicine | 57 W Grove Creek Cir, Farmington, UT 84025-4732 | 2018-07-19 |
| 1255759262 | Arthur Wiser | Family Medicine | 101 New Meadow Run Dr Dept Of, Farmington, PA 15437-1391 | 2014-04-07 |
| 1427304203 | Joseph Samuel Emond Jr. | Family Medicine | 19730 Meadowlark Way, Farmington, MN 55024 | 2012-07-30 |
| 1457643835 | Saira Rani | Family Medicine | 406 Farmington Ave Ste 1, Farmington, CT 06032-1964 | 2011-05-04 |
| 1023310158 | Carson Wright | Family Medicine | 16 Munson Rd University of Connecticut, Correctional Managed Health Care, Farmington, CT 06030-5386 | 2010-11-22 |
| 1538471313 | Brett Blaser | Family Medicine | 140 N Union Ave, Ste F-300, Farmington, UT 84025-2953 | 2010-07-08 |
| 1427376300 | Sharon R. Wipf | Family Medicine | 103 New Meadow Run Drive, Farmington, PA 15437 | 2010-05-17 |
| 1609005693 | Vikas Vinodray Bhimani | Family Medicine | 23133 Orchard Lake Rd Ste 102, Farmington, MI 48336-3278 | 2009-07-10 |
| 1699901231 | Daniel Wilford Broadbent | Family Medicine | 991 Shepard Ln, Ste 200, Farmington, UT 84025-2972 | 2009-06-10 |
| 1578797031 | Midwest Health Group Convenient Care | Family Medicine | 550 Maple Valley Dr, Farmington, MO 63640-1981 | 2009-05-12 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 72730 |
Please comment or provide details below to improve the information on JANTZEN T SLATER.
| 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.