JOANNA B. SLOAN MD (NPI# 1154400166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154400166 |
| Entity Type | Organization |
| Organization Name | JOANNA B. SLOAN MD |
| Other Organization Name | EVERGREEN DERMATOLOGY CENTER |
| Practice Address |
1515 116th Ave Ne Suite 307 Bellevue WA 98004-3811 |
| Practice Telephone | 4258994300 |
| Practice Fax Number | 4256888850 |
| Mailing Telephone | 4258994300 |
| Mailing Fax Number | 4256888850 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-27 |
| Authorized Official Name | DR. JOANNA B SLOAN (OWNER) |
| Authorized Official Telephone | 4258994300 |
| Authorized Official Credential | MD PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MD00029104 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Evergreen Dermatology Center | Doing Business As Name - Organization |
| Street Address |
1515 116TH AVE NE SUITE 307 |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-3811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033132410 | Jf Rosenwald Dds Ps | Dentist | 1515 116th Ave Ne, Suite 305, Bellevue, WA 98004-3811 | 2006-07-25 |
| 1659775419 | Coho Medical Group, Pllc | Internal Medicine | 1515 116th Ave Ne, Suite 201, Bellevue, WA 98004-3811 | 2014-10-22 |
| 1295073997 | Bellevue Hyperbarics,pllc | Clinic/Center | 1515 116th Ave Ne, Suite 202, Bellevue, WA 98004-3811 | 2013-01-30 |
| 1104124247 | Bellevue Obgyn LLC | Obstetrics & Gynecology | 1515 116th Ave Ne, 205, Bellevue, WA 98004-3811 | 2011-03-13 |
| 1922319722 | Jessica Ann Jones | Massage Therapist | 1515 116th Ave Ne, Suite 109, Bellevue, WA 98004-3811 | 2010-06-25 |
| 1184944332 | Restorix Medical Group Pllc | Specialist | 1515 116th Ave Ne, Suite 300, Bellevue, WA 98004-3811 | 2010-06-09 |
| 1588897102 | Pinnacle Dermatology | Dermatology | 1515 116th Ave Ne, Ste 307, Bellevue, WA 98004-3811 | 2009-08-30 |
| 1417183682 | Sound Acupuncture & Herbs, LLC | Acupuncturist | 1515 116th Ave Ne, Ste 109, Bellevue, WA 98004-3811 | 2009-06-02 |
| 1033355581 | Bellevue Neuromuscular Dentistry LLC | Dentist | 1515 116th Ave Ne, Suite 303, Bellevue, WA 98004-3811 | 2009-01-05 |
| 1548405418 | Michael Nelson Brown | Pain Medicine | 1515 116th Ave Ne, Suite #202, Bellevue, WA 98004-3811 | 2008-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528963 | Dimensions Aba, LLC | Clinic/Center | 1808 Richards Rd Ste 102, Bellevue, WA 98005-3982 | 2019-09-30 |
| 1376947747 | Align Bodyworks Pllc | Clinic/Center | 16040 Northup Way, Bellevue, WA 98008-2541 | 2014-10-14 |
| 1861895104 | Rediclinic of Wa, LLC | Clinic/Center | 15100 S.e. 38th Street, Bellevue, WA 98006-1763 | 2014-10-01 |
| 1700100344 | Integrated Rehabilitation Group PC | Clinic/Center | 1515 116th Ave Ne Ste 107, Bellevue, WA 98004-3811 | 2010-03-25 |
| 1164670196 | Creighton University Medical Center | Clinic/Center | 3802 Raynor Pkwy Ste 201, Bellevue, NE 68123-2528 | 2008-09-03 |
| 1609064245 | Golden Hand Massage | Clinic/Center | 10617 Ne 2nd St, Bellevue, WA 98004-5727 | 2007-10-09 |
| 1205455060 | Formosa Acupuncture & Herbs Corporation | Clinic/Center | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1598255903 | Sports and Spine | Clinic/Center | 3900 Factoria Blvd Se Ste A, Bellevue, WA 98006-1234 | 2018-05-11 |
| 1023506714 | Hotel California By The Sea Bellevue, LLC. | Clinic/Center | 1601 114th Ave Se Ste 180, Bellevue, WA 98004-6955 | 2018-04-27 |
| 1710414594 | Tree of Life Acupuncture | Clinic/Center | 1215 120th Ave Ne, Suite 206, Bellevue, WA 98005-2135 | 2017-05-11 |
| Find all providers in BELLEVUE | ||||
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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.