TRAVIS J SLABA (NPI# 1295732709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295732709 |
| Entity Type | Individual |
| Full Name | TRAVIS J SLABA |
| Credential | PA-C |
| Practice Address |
220 S Cliff Ave Ste 120 Harrisburg SD 57032-2117 |
| Mailing Address |
Po Box 86430 Sioux Falls SD 57118-6430 |
| Practice Telephone | 6052138000 |
| Practice Fax Number | 6052138005 |
| Mailing Telephone | 6053224900 |
| Mailing Fax Number | 6053224910 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2012-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 0541 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0541 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 6824970 | 05 |
| Street Address |
220 S CLIFF AVE STE 120 |
| City | HARRISBURG |
| State | SD |
| Zip Code | 57032-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184690943 | Avera Mckennan | Clinic/Center | 220 S Cliff Ave Ste 120, Harrisburg, SD 57032-2117 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972745 | Harrisburg Family Dental LLC | Dentist | 225 N. Cliff Ave, Suite 2, Harrisburg, SD 57032 | 2020-08-12 |
| 1346746872 | Community Coordinated Transportation System | Non-emergency Medical Transport (VAN) | 700 E 52nd St North, Sioux Falls, SD 57032 | 2018-04-03 |
| 1215487079 | Kathryn M Larson I | Registered Nurse | 200 Willow Street, Harrisburg, SD 57032 | 2016-10-05 |
| 1487003182 | Amy Gage | Registered Nurse | 200 W. Willow St., Harrisburg, SD 57032 | 2016-06-03 |
| 1669810362 | Jenna Thies | Speech-Language Pathologist | 200 Willow St., Harrisburg, SD 57032 | 2013-06-05 |
| 1154564516 | Lora J Clark | Specialist/Technologist | 406 Columbia St, Harrisburg, SD 57032 | 2009-04-15 |
| 1447450994 | Your Daily Dose, Inc. | Pharmacy | 220 South Cliff Ave., Harrisburg, SD 57032 | 2007-07-23 |
| 1841418720 | Janice Ann Smith | Pharmacist | 220 S Cliff Ave, Ste 100, Harrisburg, SD 57032 | 2007-04-23 |
| 1598882276 | Monica Ann Leach | Occupational Therapist | 200 Willow St, Harrisburg, SD 57032 | 2007-03-26 |
| 1871043406 | Robyn Raszkowski | Psychologist | 200 Willow Street, Harrisburg, SD 57032 | 2016-10-06 |
| Find all providers in zip 57032 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932591260 | Denise Ann Mesaros | Physician Assistant | 5071 Bass Lake Dr Apt 2003, Harrisburg, PA 17111-5918 | 2015-02-24 |
| 1003128547 | Maegan E Greenwade | Physician Assistant | 4200 Union Deposit Rd, Harrisburg, PA 17111-2801 | 2010-07-13 |
| 1356472799 | Jeffrey John Hollenbach | Physician Assistant | 4605 Locust Ln, Harrisburg, PA 17109-4424 | 2007-03-08 |
| 1598730483 | Joan Nerviano | Physician Assistant | 3601 N Progress Ave, Harrisburg, PA 17110-9100 | 2006-02-22 |
| 1649264268 | Marnie Irene Odonnell | Physician Assistant | 121 Nyes Rd, Harrisburg, PA 17112-3247 | 2005-09-09 |
| 1538791728 | Samantha Larsen | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-02-06 |
| 1730721523 | Michalia Amony Humphrey | Physician Assistant | 2200 Dover Rd, Harrisburg, PA 17112-1002 | 2019-10-13 |
| 1619438926 | Justin Lanni | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2019-03-28 |
| 1578017851 | Gretchen Moore | Physician Assistant | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2016-08-04 |
| 1134672660 | Anthony J Manney | Physician Assistant | 4300 Londonderry Rd Ste 302, Harrisburg, PA 17109 | 2016-08-02 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 57032 |
Please comment or provide details below to improve the information on TRAVIS J SLABA.
| 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.