Charles A Slattery (NPI# 1821291048, PAC ID# 4880660877) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1821291048 |
| PAC ID by PECOS | 4880660877 |
| Professional Enrollment ID | I20110621000801 |
| Full Name | Charles A Slattery |
| Address |
7455 S Us Hwy 1 Titusville FL 32780-8115 |
| Gender | M |
| Graduation Year | 1980 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100028 | PARRISH MEDICAL CENTER |
| 100177 | CAPE CANAVERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7455 S Us Hwy 1, Titusville, FL 32780-8115 |
| Street Address |
7455 S US HWY 1 |
| City | TITUSVILLE |
| State | FL |
| Zip | 32780-8115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Deballi Iii | Anesthesiology | Sheridan Healthcorp Inc | 814 S Washington Ave, Titusville, FL 32780-2406 |
| Dillon Stephen Smith | Optometry | Michael J Kutryb Md Pa | 730 S Washington Ave, Titusville, FL 32780-4232 |
| Michael Kutryb | Ophthalmology | Michael J Kutryb Md Pa | 730 S Washington Ave, Titusville, FL 32780-4232 |
| Kiri J Rutledge | Optometry | Michael J Kutryb Md Pa | 730 S Washington Ave, Titusville, FL 32780-4232 |
| Darren M Mayer | Physician Assistant | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Melinda A Cobb | Physician Assistant | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Manuel D Gonzalez | Nurse Practitioner | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Michael M Cooper | Physician Assistant | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Emily Leech | Physician Assistant | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Susan M Hatfield | Physician Assistant | Medfast Urgent Care Centers LLC | 1840 S Washington Ave, Titusville, FL 32780-4716 |
| Find all physicians in zip 32780 | |||
| City | TITUSVILLE |
| Zip Code | 32780 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TITUSVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Charles A Slattery.
| 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.