DIRK L SLADE (NPI# 1164564860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164564860 |
| Entity Type | Individual |
| Full Name | DIRK L SLADE |
| Credential | M.D. |
| Practice Address |
652 S Medical Center Dr Ste 400 St George UT 84790-7049 |
| Mailing Address |
Po Box 27128 Salt Lake City UT 84127-0128 |
| Practice Telephone | 4352512650 |
| Practice Fax Number | 4352512668 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2012-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
2869891205 | UT | Allopathic & Osteopathic Physicians |
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
D0064980 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
652 S MEDICAL CENTER DR STE 400 |
| City | ST GEORGE |
| State | UT |
| Zip Code | 84790-7049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916915 | Brookanne J Mickelson | Nurse Practitioner | 652 S Medical Center Dr, Ste 110, St George, UT 84790-7049 | 2005-07-21 |
| 1316561848 | Jacob Daniel Earl | Occupational Therapist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2020-06-01 |
| 1013562875 | Alexa Atkin | Speech-Language Pathologist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-08-07 |
| 1265090039 | Kelli D Reese | Speech-Language Pathologist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-06-05 |
| 1932666781 | Health Services Inc | Preventive Medicine | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-02-28 |
| 1134683774 | Michelle Lynn Schierl | Occupational Therapist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-01-28 |
| 1871067090 | Danielle Marie Smith | Hospitalist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2019-01-22 |
| 1942733126 | David Scott Foisy | Nurse Practitioner | 652 S Medical Center Dr, St George, UT 84790-7049 | 2017-04-05 |
| 1588119622 | Kashae Anderson | Physician Assistant | 652 S Medical Center Dr, Ste 420, St George, UT 84790-7049 | 2016-08-18 |
| 1265887343 | Michelle Hudson | Specialist/Technologist | 652 S Medical Center Dr, St George, UT 84790-7049 | 2016-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342713 | Katrina Poulsen | Student in an Organized Health Care Education/Training Program | 617 East Rriverside Dr, Ste 301, St. George, UT 84790 | 2020-10-08 |
| 1124643226 | Desert View Eyecare | Optometrist | 15 South River Road St. 150, St. George, UT 84790 | 2020-06-15 |
| 1366066417 | Benjamin Todd Lloyd | Dentist | 1683 E. Wolf Hole Dr, St. George, UT 84790 | 2020-06-04 |
| 1801434584 | Jennifer M Putnam | Marriage & Family Therapist | 321 North Mall Drive, Vw103, St. George, UT 84790 | 2019-12-12 |
| 1326683012 | Red Mountain Counseling and Education | Counselor | 321 No Mall Dr, Vw 103, St. George, UT 84790 | 2019-11-17 |
| 1295376002 | Karynne Kimberly Simpson | Behavior Technician | 280 N 1680 E U1, St. George, UT 84790 | 2019-10-02 |
| 1962053017 | Mikala Larsen | Nurse Practitioner | 1380 S Medical Center Dr., Saint George, UT 84790 | 2019-09-20 |
| 1326690678 | Joe Ballent | Student in an Organized Health Care Education/Training Program | 1526 S Medical Center Dr Ste 224a, St George, UT 84790 | 2019-07-16 |
| 1558923854 | David Pace | Optometrist | 749 South River Rd, St. George, UT 84790 | 2019-07-08 |
| 1639734924 | Mariah Ann Mertlich | Behavioral Analyst | 280 N 1680 E, U1, St. George, UT 84790 | 2019-05-02 |
| Find all providers in zip 84790 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932261005 | Robert H Horne | Orthopaedic Surgery | 3015 Mount Jordan Rd, Sandy, UT 84092-3384 | 2006-12-15 |
| 1205939089 | Curtis C Johnson | Orthopaedic Surgery | 1055 N 500 W Ste 207, Provo, UT 84604-3305 | 2006-09-06 |
| 1417268368 | David Erik Peterson | Orthopaedic Surgery | 2310 N 400 E Ste A, Logan, UT 84341-1796 | 2010-06-25 |
| 1629210372 | Sidney Lincoln Baucom | Orthopaedic Surgery | 5848 S Fashion Blvd Ste 110, Salt Lake City, UT 84107-6175 | 2009-03-26 |
| 1346491917 | Laird S Swensen | Orthopaedic Surgery | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2008-10-01 |
| 1891952545 | Valerie Marie Wolfe | Orthopaedic Surgery | 590 S Wakara Way, Salt Lake City, UT 84108-1200 | 2008-05-20 |
| 1104000637 | Allen R Groebs Md PC | Orthopaedic Surgery | 5323 South Woodrow Street, Suite 200, Murray, UT 84107 | 2007-12-19 |
| 1275714115 | William Frederick Gowski | Orthopaedic Surgery | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2007-11-20 |
| 1558550319 | Cache Orthopaedics PC | Orthopaedic Surgery | 2380 N 400 E, Ste G, Logan, UT 84341-1749 | 2007-10-17 |
| 1750599171 | Jonathan A Donigan | Orthopaedic Surgery | 2121 N 1700 W, Layton, UT 84041-8803 | 2007-05-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DIRK L 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.