Daniel Slack (NPI# 1780098442, PAC ID# 0648497313) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1780098442 |
| PAC ID by PECOS | 0648497313 |
| Professional Enrollment ID | I20180208001233 |
| Full Name | Daniel Slack |
| Organization Legal Name | SHERIDAN HEALTHCARE OF WASHINGTON, PC |
| Address |
939 Caroline St Port Angeles WA 98362-3909 |
| Phone Number | 3604177711 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4385791573 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500072 | OLYMPIC MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 939 Caroline St, Port Angeles, WA 98362-3909 | 3604177711 | SHERIDAN HEALTHCARE OF WASHINGTON, PC |
| Organization Legal Name | SHERIDAN HEALTHCARE OF WASHINGTON, PC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim M Schorer | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Washington, PC | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Jason A Mcintosh | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Washington, PC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Calvin Takchun Wong | Anesthesiology | Sheridan Healthcare of Washington, PC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Christopher Snell | Anesthesiology | Sheridan Healthcare of Washington, PC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Erik C Engen | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Washington, PC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Daniel J Hanson | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Washington, PC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Fayzel Lee | Anesthesiology | Sheridan Healthcare of Washington, PC | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Rachel L Chard | Critical Care (intensivists) | Sheridan Healthcare of Washington, PC | 3900 Capital Mall Dr Sw, Olympia, WA 98502-8654 |
| Kevin S Chadburn | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Washington, PC | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Pamela J Bundy | Anesthesiology | Sheridan Healthcare of Washington, PC | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Street Address |
939 CAROLINE ST |
| City | PORT ANGELES |
| State | WA |
| Zip | 98362-3909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim M Schorer | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of Washington, PC | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Matthew W Kiddle | Physician Assistant | Olympic Medical Physicians | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Robin I Sterin | Physician Assistant | Olympic Medical Physicians | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Irene Grinberg | Emergency Medicine | Olympic Medical Physicians | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Sara J Steffen | Physician Assistant | Olympic Medical Physicians | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Thomas M Lang | Emergency Medicine | Olympic Medical Physicians | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Alexander Pan | Cardiovascular Disease (cardiology) | Olympic Medical Physicians | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Eric S Swanson | Hospitalist | Olympic Medical Physicians | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Samuel R Baker | Orthopedic Surgery | Olympic Medical Physicians | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Fayzel Lee | Anesthesiology | Sheridan Healthcare of Washington, PC | 939 Caroline St, Port Angeles, WA 98362-3909 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Kate Ballou | Nurse Practitioner | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Benjamin Robert Curran | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Summer Michele Scavone | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Jennifer L Wilson | Physician Assistant | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Katrina C Weller | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Ned J Hammar | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Michael Aaron Wauters | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Bradley K Rodell | Physician Assistant | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Johannah L Hay | Family Medicine | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Susan H Roberts | Nurse Practitioner | North Olympic Healthcare Network | 240 W Front St A, Port Angeles, WA 98362-2609 |
| Find all physicians in zip 98362 | |||
| City | PORT ANGELES |
| Zip Code | 98362 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PORT ANGELES + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.