CHARLES MATTESON SLOAN JR. (NPI# 1528076999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528076999 |
| Entity Type | Individual |
| Full Name | CHARLES MATTESON SLOAN JR. |
| Credential | MD |
| Practice Address |
12800 Hillcrest Rd Suite A123 Dallas TX 75230 |
| Mailing Address |
P.o. Box 670367 Dallas TX 75367 |
| Practice Telephone | 4693260014 |
| Practice Fax Number | 4693260015 |
| Mailing Telephone | 4694583872 |
| Mailing Fax Number | 4694583895 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2018-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | G5619 | TX | Allopathic & Osteopathic Physicians |
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
G5619 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720541170 | Charles Porter Sloan IIi | Clinical Nurse Specialist | 1950 Mountain View Ave, Longmont, CO 80501-9865 | 2019-04-11 |
| 1598055626 | Charles Curtis Sloan | Pharmacist | 3720 Tuscarawas St W, Canton, OH 44708-5619 | 2011-04-11 |
| Street Address |
12800 HILLCREST RD SUITE A123 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548825110 | Alleviate Pain Center, LLC | Anesthesiology | 5801 Marvin D Love Fwy Ste 105, Dallas, TX 75237-2388 | 2019-05-08 |
| 1366937013 | Ld Anesthesia Consultants, Pllc | Anesthesiology | 5902 Goliad Ave, Dallas, TX 75206-6820 | 2018-06-26 |
| 1245723428 | Ld Wellness Pllc | Anesthesiology | 7331 Gaston Ave Ste 219, Dallas, TX 75214-4131 | 2018-06-12 |
| 1437654043 | Precision Med Consultants | Anesthesiology | 12200 Park Central Dr Ste 300, Dallas, TX 75251 | 2018-03-26 |
| 1750884847 | Midtex Medical Group Pllc- Dallas Series | Anesthesiology | 4228 N Central Expy Ste 104, Dallas, TX 75206-6558 | 2018-03-14 |
| 1427571355 | Interventional Spine & Pain, LLP | Anesthesiology | 8222 Douglas Avenue, Ste. 890, Dallas, TX 75225-7036 | 2017-07-23 |
| 1629506357 | Vanguard Pain Management, Pllc | Anesthesiology | 9080 Harry Hines Blvd Ste 110, Dallas, TX 75235-1700 | 2017-05-25 |
| 1215354972 | Ispine Sports Medicine and Pain Management, Pa | Anesthesiology | 2220 Canton St, Suite 211, Dallas, TX 75201-5923 | 2014-03-19 |
| 1770842338 | Hercules Pain Management LLC | Anesthesiology | 7988 W. Virginia, Suite 100, Dallas, TX 75237 | 2012-05-16 |
| 1336374727 | Tian Zhao | Anesthesiology | 5550 Lbj Fwy Ste 150, Dallas, TX 75240-2303 | 2009-05-28 |
| Find all providers in DALLAS | ||||
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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.