JOHN BENJAMIN SLADE JR. (NPI# 1457442394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457442394 |
| Entity Type | Individual |
| Full Name | JOHN BENJAMIN SLADE JR. |
| Credential | MD |
| Practice Address |
101 Bodin Cir Travis Afb CA 94535 |
| Mailing Address |
101 Bodin Cir Travis Afb CA 94535-1809 |
| Practice Telephone | 7074233987 |
| Practice Fax Number | 7074235356 |
| Mailing Telephone | 7074233987 |
| Mailing Fax Number | 7074235356 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | A35154 | CA | Allopathic & Osteopathic Physicians |
| Y | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
A35154 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A351541 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1010 Nut Tree Rd, Suite 100, Vacaville, CA 95687 | 7074543096 | 7074543104 |
| Street Address |
101 BODIN CIR |
| City | TRAVIS AFB |
| State | CA |
| Zip Code | 94535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801893276 | Charles A Tujo | Radiology | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2005-06-30 |
| 1538769351 | Chelsey Violet Pelkey | Military Health Care Provider | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-10-30 |
| 1538768114 | Jordan Rose | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-10-23 |
| 1821606591 | Madelyn Hale | Military Health Care Provider | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-07-20 |
| 1932727856 | Julie Thein | Audiologist | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-07-07 |
| 1063039501 | Shae Daniel Bryant | Dentist | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-07-01 |
| 1598381089 | Aaron J Surbaugh | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-06-19 |
| 1194348466 | Amanda Vance | Registered Nurse | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-05-21 |
| 1427681196 | Bradley Burkey | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-02-20 |
| 1821629288 | Gloria Calvillo | Student in an Organized Health Care Education/Training Program | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2020-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
| 1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
| 1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
| 1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
| 1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
| 1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
| 1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
| 1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
| 1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
| 1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
| Find all providers in zip 94535 | ||||
| Taxonomy Code | 2083P0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Undersea and Hyperbaric Medicine |
| A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972598480 | Patrick James Kearney | Preventive Medicine | 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737610 | Siraj K Ahmed Md Inc | Preventive Medicine | 520 E Center St Ste 102, Manteca, CA 95336-4720 | 2020-10-16 |
| 1457982696 | Under Pressure Hyperbarics Medical Corp | Preventive Medicine | 250 N Robertson Blvd Ste 104a, Beverly Hills, CA 90211-1767 | 2020-01-27 |
| 1487194023 | M4llc | Preventive Medicine | 209 N Pacific Ave, San Pedro, CA 90731-2015 | 2017-03-01 |
| 1407193501 | Rapid Recovery Hyperbarics, LLC | Preventive Medicine | 9439 Archibald Ave Ste 104, Rancho Cucamonga, CA 91730-7947 | 2013-01-09 |
| 1497960546 | San Diego Center for Hyperbaric Therapy | Preventive Medicine | 5038 Ruffner St Ste C, San Diego, CA 92111-1108 | 2007-05-11 |
| 1821104688 | Joseph Nevarez Md Cws Inc | Preventive Medicine | 36243 Inland Valley Dr Ste 20, 20, Wildomar, CA 92595-9547 | 2006-08-22 |
| 1114984713 | Robert W Perkins | Preventive Medicine | 5301 Bolsa Ave, Mail Code H012-a204, Huntington Beach, CA 92647-2048 | 2006-04-27 |
| 1790756682 | Ahmik Lytton Jones | Preventive Medicine | 2424 Rendova Rd, San Diego, CA 92155-5401 | 2006-01-30 |
| 1023622669 | Avanti Health Providers | Preventive Medicine | 531 N Alta Ave Ste B, Dinuba, CA 93618-3250 | 2020-09-01 |
| 1194352930 | Jacqueline S Chan Do A Medical Corporation | Preventive Medicine | 1118 Irwin St, San Rafael, CA 94901-3322 | 2020-03-23 |
| Find all providers with the same taxonomy | ||||
| City | TRAVIS AFB |
| Zip Code | 94535 |
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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.