DR. PETER B. SLABAUGH (NPI# 1447227392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447227392 |
| Entity Type | Individual |
| Full Name | DR. PETER B. SLABAUGH |
| Credential | MD |
| Practice Address |
3315 Broadway Oakland CA 94611-5717 |
| Mailing Address |
200 Porter Dr Suite 215 San Ramon CA 94583-1587 |
| Practice Telephone | 5108492300 |
| Practice Fax Number | 5108492333 |
| Mailing Telephone | 9253622166 |
| Mailing Fax Number | 8555743055 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2017-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
G23442 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00G234420 | 01 |
| CA | RAIL ROAD MEDICARE | 200018732 | 01 |
| CA | 00G234420 | 05 |
| Street Address |
3315 BROADWAY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427041938 | Thomas Winfield Peatman | Orthopaedic Surgery | 3315 Broadway, Oakland, CA 94611-5717 | 2005-08-30 |
| 1659846483 | Alexandra Michele Kuizenga | Physician Assistant | 3315 Broadway, Oakland, CA 94611-5717 | 2018-10-08 |
| 1770014367 | Ambreen Zaman | Physician Assistant | 3315 Broadway, Street Level, Oakland, CA 94611-5717 | 2017-03-24 |
| 1538601182 | Trese Biagini | Nurse Practitioner | 3315 Broadway, Oakland, CA 94611-5717 | 2016-11-14 |
| 1578796439 | Shawn Charles Lies | Physician Assistant | 3315 Broadway, Oakland, CA 94611-5717 | 2009-08-26 |
| 1922294719 | Eric S Stuffmann | Orthopaedic Surgery | 3315 Broadway, Oakland, CA 94611-5717 | 2007-09-14 |
| 1679778252 | Kevin M Roth | Orthopaedic Surgery | 3315 Broadway, Oakland, CA 94611-5717 | 2007-06-15 |
| 1265581037 | Ross Talarico | Podiatrist | 3315 Broadway, Oakland, CA 94611-5717 | 2007-01-09 |
| 1801839188 | Michael J Duffy | Physician Assistant | 3315 Broadway, Oakland, CA 94611-5717 | 2006-06-14 |
| 1316914385 | Webster Orthopaedic Medical Group, A Professional Corporation | Orthopaedic Surgery | 3315 Broadway, Oakland, CA 94611-5717 | 2006-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154308559 | Ronald Gordon Blackman | Orthopaedic Surgery | 1073 Hubert Rd, Oakland, CA 94610-2520 | 2005-12-27 |
| 1407908205 | Josef E. Gorek | Orthopaedic Surgery | 275 W Macarthur, Oakland, CA 94611-5641 | 2007-01-18 |
| 1649359340 | Timothy S. Huang | Orthopaedic Surgery | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-03 |
| 1538247325 | Andrew V. Slucky | Orthopaedic Surgery | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
| 1427136217 | Ravinder-raj S. Bains | Orthopaedic Surgery | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
| 1093893885 | Peter Kurt Vanpeteghem | Orthopaedic Surgery | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720649940 | Travis Loidolt D.o. Inc | Orthopaedic Surgery | 584 N. Sunrise Ave., Suite 100, Roseville, CA 95661-2862 | 2019-06-27 |
| 1528629185 | Kushagra Verma Md Inc | Orthopaedic Surgery | 2006 Bataan Rd Unit A, Redondo Beach, CA 90278-1306 | 2019-06-25 |
| 1144888348 | Borys Gvozdyev Md A Professional Medical Corporation | Orthopaedic Surgery | 18035 Brookhurst St # 1200, Fountain Valley, CA 92708-6738 | 2019-06-03 |
| 1992369227 | Veronica Donato | Orthopaedic Surgery | 1245 Wilshire Blvd Ste 770, Los Angeles, CA 90017-4881 | 2019-04-22 |
| 1134681232 | Sca Care of Ca, LLC | Orthopaedic Surgery | 533 Airport Blvd Ste 420, Burlingame, CA 94010-2018 | 2019-04-05 |
| 1528557568 | James Alfred Aicardi | Orthopaedic Surgery | 3838 California St Rm 715, San Francisco, CA 94118-1509 | 2018-05-04 |
| 1457850661 | Ravi Ramachandran Md Inc | Orthopaedic Surgery | 2330 E Bidwell St Ste 100, Folsom, CA 95630-3897 | 2018-02-03 |
| 1659879906 | Total Joint Cin of Northern California | Orthopaedic Surgery | 533 Airport Blvd Ste 425, Burlingame, CA 94010-2018 | 2018-01-31 |
| 1588172936 | Select Health of Ca IIi, LLC | Orthopaedic Surgery | 2372a Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
| 1578071924 | Coordinated Health of Ca IIi, LLC | Orthopaedic Surgery | 2372c Morse Ave, Irvine, CA 92614-6234 | 2018-01-19 |
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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.