JASON BRYANT SLADE (NPI# 1750672481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750672481 |
| Entity Type | Individual |
| Full Name | JASON BRYANT SLADE |
| Credential | M.D. |
| Practice Address |
9850 St Lukes Dr Nampa ID 83687-7912 |
| Mailing Address |
705 Riley Hospital Dr Rm 5867 Indianapolis IN 46202-5109 |
| Practice Telephone | 2085055200 |
| Mailing Telephone | (217) 819-2137 |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | M-12906 | ID | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | M-12906 | ID | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 702 Barnhill Drive, Riley Children's Hospital, Medpeds, Indianapolis, IN 46202 | 3179480003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184758062 | Jason Mccoy Slade | Chiropractor | 5656 Wills Creek Ln, Fort Worth, TX 76179-7626 | 2007-03-15 |
| Street Address |
9850 ST LUKES DR |
| City | NAMPA |
| State | ID |
| Zip Code | 83687-7912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286723 | Bryan C Pogue Sr. | Family Medicine | 9850 St Lukes Dr, Nampa, ID 83687-7912 | 2005-06-23 |
| 1124688361 | Joann Barney Teuber | Physical Therapist | 9850 St Lukes Dr, Nampa, ID 83687-7912 | 2019-06-19 |
| 1811556988 | Caitlin E Stagg | Social Worker | 9850 St Lukes Dr, Nampa, ID 83687-7912 | 2019-06-11 |
| 1023674215 | Amanda Stone | Social Worker | 9850 St Lukes Dr, Nampa, ID 83687-7912 | 2019-05-14 |
| 1164986873 | Shawn Reiling | Social Worker | 9850 St Lukes Dr, Nampa, ID 83687-7912 | 2019-01-27 |
| 1487127254 | Zoe Saulsgiver | Physical Therapist | 9850 St Lukes Dr, Nampa, ID 83687-7912 | 2019-01-04 |
| 1740765346 | Ashley Geist | Occupational Therapist | 9850 St Lukes Dr, Nampa, ID 83687-7912 | 2018-09-28 |
| 1588148118 | Melanie Eileen Smith | Registered Nurse | 9850 St Lukes Dr, Nampa, ID 83687-7912 | 2018-09-19 |
| 1457832461 | Paula Simone Vause | Social Worker | 9850 St Lukes Dr, Nampa, ID 83687-7912 | 2018-08-27 |
| 1700367273 | Rebecca Haskell | Social Worker | 9850 St Lukes Dr, Nampa, ID 83687-7912 | 2018-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307447 | Current Physical Therapy Nampa LLC | Physical Therapist | 16150 N High Desert Street, Nampa, ID 83687 | 2020-02-10 |
| 1356867683 | Nampa of Cascadia, LLC | Skilled Nursing Facility | 900 North Happy Valley Rd, Nampa, ID 83687 | 2017-08-18 |
| 1750828513 | Daniel & Max, LLC | Optometrist | 1600 Karcher Rd, Nampa, ID 83687 | 2017-01-31 |
| 1578965422 | Jorge Domingo Reyes | Counselor | 5700 E. Franklin Rd., Suite 220-i, Nampa, ID 83687 | 2014-09-23 |
| 1619302080 | David Lyle Farris | Dentist | 16548 North Franklin Blvd., Nampa, ID 83687 | 2013-09-04 |
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1457696783 | Laurel Evans | Specialist/Technologist | 850 W. St. Luke's Dr., Suite 215, Nampa, ID 83687 | 2012-11-27 |
| 1750641197 | Andrea Patricia Fitzer | Nurse Practitioner | 4400 E. Flamingo Ave, Nampa, ID 83687 | 2012-05-18 |
| 1679846182 | Ivony Case Management | Case Management | 811 12th Street, Ste. 2, Nampa, ID 83687 | 2012-02-14 |
| 1699043679 | Saltzer Medical Group, P.a. | Durable Medical Equipment & Medical Supplies | 9850 W St Lukes Drive, Nampa, ID 83687 | 2011-12-06 |
| Find all providers in zip 83687 | ||||
| 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 |
|---|---|---|---|---|
| 1871934547 | Ian Zafar Qureshi | Internal Medicine | 4400 E Flamingo Ave Ste 130, Nampa, ID 83687 | 2013-07-10 |
| 1265448476 | James J Mccabe | Internal Medicine | 215 W Hawaii Ave, Nampa, ID 83686 | 2006-07-31 |
| 1881615664 | Lauren Markelle Friedly | Internal Medicine | 9850 W St Lukes Dr, Nampa, ID 83687-7912 | 2006-07-21 |
| 1194715177 | James R Dzur | Internal Medicine | 217 W Georgia Ave, Suite 115, Nampa, ID 83686-6811 | 2005-10-21 |
| 1104305648 | Hospitalist Medicine Physicians of Idaho-tcg, Pllc | Internal Medicine | 4300 E Flamingo Ave, Nampa, ID 83687-3138 | 2018-08-07 |
| 1710392410 | Medical Directors of Idaho Pllc | Internal Medicine | 404 N Horton St, Nampa, ID 83651-6541 | 2014-06-23 |
| 1093129751 | Justin Tomal | Internal Medicine | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2014-06-19 |
| 1285077701 | Ryan G Townsend | Internal Medicine | 1150 N Sister Catherine Way, Nampa, ID 83687-3133 | 2013-04-15 |
| 1881973899 | Olawale Olaniyi | Internal Medicine | 1512 12th Ave Rd, Nampa, ID 83686-6008 | 2011-08-08 |
| 1700010873 | Erin M Mccoy | Internal Medicine | 1200 Garrity Blvd, Nampa, ID 83687-3402 | 2009-05-05 |
| Find all providers in NAMPA | ||||
Please comment or provide details below to improve the information on JASON BRYANT SLADE.
| 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.