DAVID M. SLACK (NPI# 1205895554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205895554 |
| Entity Type | Individual |
| Full Name | DAVID M. SLACK |
| Credential | MD |
| Practice Address |
179 Northampton St #h Easthampton MA 01027-1057 |
| Mailing Address |
Po Box 8019 Springfield MA 01102-8000 |
| Practice Telephone | 4135299300 |
| Practice Fax Number | 4135279793 |
| Mailing Telephone | 8664314077 |
| Mailing Fax Number | 4137747448 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2008-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 72497 | MA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 72497 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBSMA | J09911 | 01 |
| MA | AETNA | 2358373 | 01 |
| MA | HARVARD PILGRIM | 63401 | 01 |
| MA | HEALTH NEW ENGLAND | 16474 | 01 |
| MA | CONNECTICARE | 740008 | 01 |
| MA | TUFTS | 729533 | 01 |
| MA | BOSTON MEDICAL CENTER HEALTHNET PLAN | 000000007738 | 01 |
| MA | FALLON | 1293916 | 01 |
| MA | 3066134 | 05 | |
| MA | CIGNA | 1024130 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356351795 | David P Slack | Specialist | 1809 Cooks Hill Rd, Centralia, WA 98531-9072 | 2006-08-08 |
| 1568913713 | David Slack | Specialist/Technologist | 1020 N 2nd St, Atchison, KS 66002-1402 | 2016-10-21 |
| 1558476861 | David Lewis Slack | Clinical Neuropsychologist | 10,000 Bay Pines Blvd., Bay Pines, FL 33744 | 2006-08-20 |
| 1932143765 | David Slack | Anesthesiology | 700 W El Norte Pkwy, Escondido, CA 92026-3923 | 2006-06-15 |
| Street Address |
179 NORTHAMPTON ST #H |
| City | EASTHAMPTON |
| State | MA |
| Zip Code | 01027-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982677860 | Susan G. Ray-lamond | Pediatrics | 179 Northampton St, #a, Easthampton, MA 01027-1057 | 2006-02-10 |
| 1710505573 | Jessica Judice | Peer Specialist | 179 Northampton St, Easthampton, MA 01027-1057 | 2020-07-08 |
| 1770107815 | Nicole Arielle Leonard | Case Manager/Care Coordinator | 179 Northampton St, Easthampton, MA 01027-1057 | 2020-06-04 |
| 1801419148 | Clara Wagner | Counselor | 179 Northampton St, Easthampton, MA 01027-1057 | 2020-05-21 |
| 1336760875 | Shayna O'neill | Student in an Organized Health Care Education/Training Program | 179 Northampton St, Easthampton, MA 01027-1057 | 2020-05-06 |
| 1396302048 | Natalie Dee Negron | Social Worker | 179 Northampton St, Easthampton, MA 01027-1057 | 2019-05-28 |
| 1659878718 | Elizabeth Imelio | Social Worker | 179 Northampton St, Easthampton, MA 01027-1057 | 2018-04-06 |
| 1518483957 | Jennifer Pierce | Counselor | 179 Northampton St, Easthampton, MA 01027-1057 | 2017-08-17 |
| 1972025906 | Mark Stanley Medina | Counselor | 179 Northampton St, Easthampton, MA 01027-1057 | 2017-07-11 |
| 1154851319 | Melanie Ann Sims | Social Worker | 179 Northampton St, Easthampton, MA 01027-1057 | 2017-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669034526 | Elite Home Care Agency & Training Enterprises | In Home Supportive Care | 184 Northampton Street, Building 3 Suite 301, Easthampton, MA 01027 | 2019-07-01 |
| 1275018848 | Micah Jacob Feldman | Social Worker | 99 East, Easthampton, MA 01027 | 2018-09-30 |
| 1063930642 | Victoria Lynn Hesse | Counselor | 203 East Street, Easthamptom, MA 01027 | 2017-09-05 |
| 1356690770 | Erin Neil Kolasinski | Social Worker | 179 Northampton Street, Easthampton, MA 01027 | 2012-08-30 |
| 1619245784 | Marina Kantarovich Rodriguez | Counselor | 108 Union St, Easthampton, MA 01027 | 2011-12-05 |
| 1205104239 | Sima Mansouri | Pharmacist | 16 Pine Hill Rd, Easthampton, MA 01027 | 2011-12-05 |
| 1063711331 | John Daniel Ritchie | Social Worker | 181 Northampton St Ste B3, Easthampton, MA 01027 | 2011-03-25 |
| 1427359272 | All About You LLC | Home Health | 2 Mechanic Street, Suite 7, Easthampton, MA 01027 | 2010-11-10 |
| 1386972263 | Hannah Lord | Counselor | 123 Union Street, Suite 201, Easthampton, MA 01027 | 2009-12-03 |
| 1174786321 | Diane M Debenedetto | Internal Medicine | 132 Cottage Street, Easthampton, MA 01027 | 2008-07-08 |
| Find all providers in zip 01027 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043590417 | Manhan Internal Medicine PC | Internal Medicine | 2 Mechanic St, Suite A, Easthampton, MA 01027-1562 | 2011-08-17 |
| 1174786321 | Diane M Debenedetto | Internal Medicine | 132 Cottage Street, Easthampton, MA 01027 | 2008-07-08 |
| 1417933151 | Shawki Kanazi Md PC | Internal Medicine | 132 Cottage St, Easthampton, MA 01027-1621 | 2005-12-15 |
| 1386603637 | Paul E. Berman | Internal Medicine | 184 Northampton St, #k, Easthampton, MA 01027-1049 | 2006-03-23 |
| 1598734493 | Bruce M. Cowan | Internal Medicine | 179 Northampton St, #g, Easthampton, MA 01027-1057 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780370 | Helena Santos-martins, Md, PC | Internal Medicine | 100 Cummings Ctr Ste 106-q, Beverly, MA 01915-6115 | 2020-11-02 |
| 1194332759 | Pembroke Medical Associates Inc | Internal Medicine | 15 Old West Elm St, Pembroke, MA 02359-1731 | 2020-09-28 |
| 1649886235 | Elizabeth Muhia | Internal Medicine | 19 Crown St Apt 15, Worcester, MA 01609-2097 | 2020-09-18 |
| 1265042832 | Rinat Nuriev | Internal Medicine | 530 Western Ave Apt 404, Boston, MA 02135-1036 | 2020-08-07 |
| 1619586427 | Mc Zaslow LLC | Internal Medicine | 955 Main St Ste 302, Winchester, MA 01890-4303 | 2020-07-28 |
| 1073121489 | Commonwealth Medical Practice LLC | Internal Medicine | 505 Nashua Rd Ste 8, Dracut, MA 01826-1929 | 2020-07-21 |
| 1598382483 | Ksa Wellness, Inc. | Internal Medicine | 340 Wood Rd Ste 206, Braintree, MA 02184-2401 | 2020-06-26 |
| 1821614892 | Lyndia Personnat | Internal Medicine | 123 Summer St Ste 200, Worcester, MA 01608-1216 | 2020-06-24 |
| 1063038487 | Brian Vogel | Internal Medicine | 17a Park Ave, Winchester, MA 01890-2008 | 2020-06-22 |
| 1356970941 | Care Coordinates Inc | Internal Medicine | 136 Laconia St, Lexington, MA 02420-2252 | 2020-04-06 |
| Find all providers with the same taxonomy | ||||
| City | EASTHAMPTON |
| Zip Code | 01027 |
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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.