JEFFREY R. SLOTTEN (NPI# 1457561672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457561672 |
| Entity Type | Organization |
| Organization Name | JEFFREY R. SLOTTEN |
| Practice Address |
205 Zeagler Dr Suite 502 Palatka FL 32177-3888 |
| Practice Telephone | 3863281500 |
| Practice Fax Number | 3823281179 |
| Mailing Telephone | 3863281500 |
| Mailing Fax Number | 3823281179 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JEFFREY R. SLOTTEN (DENTIST OWNER) |
| Authorized Official Telephone | 3863281500 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN10163 | FL | Ambulatory Health Care Facilities |
| Street Address |
205 ZEAGLER DR SUITE 502 |
| City | PALATKA |
| State | FL |
| Zip Code | 32177-3888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184671844 | Jack M. Matheny II, M.d. | Internal Medicine | 205 Zeagler Dr, Ste 101, Palatka, FL 32177-3888 | 2006-05-28 |
| 1265973911 | First Coast Cardiovascular | Internal Medicine | 205 Zeagler Dr, Palatka, FL 32177-3888 | 2017-03-14 |
| 1427301670 | Physicians Group Services Pa | Surgery | 205 Zeagler Dr, Palatka, FL 32177-3888 | 2012-10-24 |
| 1225262108 | Michael Allen Hicks | Nurse Practitioner | 205 Zeagler Dr, Palatka, FL 32177-3888 | 2009-05-07 |
| 1740490945 | Jeffrey Reid Slotten | Dentist | 205 Zeagler Dr, Suite 502, Palatka, FL 32177-3888 | 2007-05-23 |
| 1407066582 | Richard A. Perallon | Dentist | 205 Zeagler Dr, Suite 301, Palatka, FL 32177-3888 | 2007-05-23 |
| 1154459832 | Julie Catherine Grout | Physical Therapist | 205 Zeagler Dr, Suite 401, Palatka, FL 32177-3888 | 2007-03-02 |
| 1598810343 | Anthony J Pacitti | Surgery | 205 Zeagler Dr, Suite 203, Palatka, FL 32177-3888 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124176 | Charlie Douglas | Pharmacist | 1024 South State Road 19, Pharmacy, Palatka, FL 32177 | 2020-11-05 |
| 1275090359 | Carol M Kazounis | Dietitian, Registered | 2801 Kennedy Strett, Palatka, FL 32177 | 2019-02-26 |
| 1447744768 | Pulido Internal Medicine | Nurse Practitioner | 700 Zeagler Drive, Suite 1, Palatka, FL 32177 | 2018-06-20 |
| 1063922656 | Ronald Michael Wendt | Nurse Practitioner | 3703 Crill Ave, Palatka, FL 32177 | 2017-10-09 |
| 1043560212 | Leslie Ann Lewis | Massage Therapist | 325 Poinsetta Ave, Palatka, FL 32177 | 2012-09-14 |
| 1285984963 | Walgreens | Pharmacy | 719 South State Road 19, Palatka, FL 32177 | 2012-09-11 |
| 1841549235 | Audrey M Russell | Pharmacy Technician | 719 Hwy 19 South, Palatka, FL 32177 | 2012-08-31 |
| 1194023838 | Sherry D. Michael | Licensed Practical Nurse | 330 Kay Larkin Dr., Palatka, FL 32177 | 2011-03-04 |
| 1083846364 | Patricia Kowalchuk | Occupational Therapy Assistant | 6050 St.johns Ave., Suite A, Palatka, FL 32177 | 2009-08-20 |
| 1609015320 | Robin Calhoun | Occupational Therapist | 611 Zeagler Dr., Palatka, FL 32177 | 2009-02-19 |
| Find all providers in zip 32177 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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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.