John Benjamin Slade Jr. (NPI# 1457442394, PAC ID# 1850297326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1457442394 |
| PAC ID by PECOS | 1850297326 |
| Professional Enrollment ID | I20031208000597 |
| Full Name | John Benjamin Slade Jr. |
| Address |
1010 Nut Tree Rd Suite 100 Vacaville CA 95687-4181 |
| Phone Number | 7076247979 |
| Gender | M |
| Credential | MD |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | UNDERSEA AND HYPERBARIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050367 | NORTHBAY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1010 Nut Tree Rd, Suite 100, Vacaville, CA 95687-4181 | 7076247979 |
| Street Address |
1010 NUT TREE RD SUITE 100 |
| City | VACAVILLE |
| State | CA |
| Zip | 95687-4181 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory Y Warner | Infectious Disease | Northbay Healthcare Group | 1010 Nut Tree Rd, 100 Wound Care, Vacaville, CA 95687-4181 |
| Robert K Peterson | Sports Medicine | Northbay Healthcare Group | 1010 Nut Tree Rd, Suite 200, Vacaville, CA 95687-4173 |
| Thomas D Erskine | Internal Medicine | 1010 Nut Tree Rd, Suite 100, Vacaville, CA 95687-4172 | |
| Melissa Schoenwetter | Rheumatology | Northbay Healthcare Group | 1010 Nut Tree Rd, Suite 200, Vacaville, CA 95687-4173 |
| An Yen | Dermatology | 1010 Nut Tree Rd, Suite 170, Vacaville, CA 95687-4176 | |
| Karen E Grumstrup | Nurse Practitioner | Northbay Healthcare Group | 1010 Nut Tree Rd, Vacaville, CA 95687-4173 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gurcharanjit Kaur | Nurse Practitioner | Northbay Healthcare Group | 421 Nut Tree Rd, Vacaville, CA 95687-3508 |
| Nicolas R Lazarewicz | Nurse Practitioner | Northbay Healthcare Group | 421 Nut Tree Rd, Vacaville, CA 95687-3508 |
| Stephen Newman | Family Medicine | Northbay Healthcare Group | 421 Nut Tree Rd, Vacaville, CA 95687-3508 |
| Angela W Lim | Osteopathic Manipulative Medicine | Northbay Healthcare Group | 421 Nut Tree Rd, Vacaville, CA 95687-3508 |
| Cheryl Jobe | Nurse Practitioner | Northbay Healthcare Group | 421 Nut Tree Rd, Vacaville, CA 95687-3508 |
| Sandra B Skates | Osteopathic Manipulative Medicine | Northbay Healthcare Group | 421 Nut Tree Rd, Vacaville, CA 95687-3508 |
| John Paul Mckenna | Endocrinology | Northbay Healthcare Group | 421 Nut Tree Rd, Vacaville, CA 95687-3508 |
| Ali Hassani | Internal Medicine | Northbay Healthcare Group | 421 Nut Tree Rd, Vacaville, CA 95687-3508 |
| Ana R Cherry | Family Medicine | Northbay Healthcare Group | 421 Nut Tree Rd, Vacaville, CA 95687-3508 |
| Marina M Bradley | Nurse Practitioner | Northbay Healthcare Group | 421 Nut Tree Rd, Vacaville, CA 95687-3508 |
| Find all physicians in zip 95687 | |||
| City | VACAVILLE |
| Zip Code | 95687 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VACAVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John Benjamin Slade Jr..
| 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.