MATTHEW SIMON SLATER (NPI# 1487662912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487662912 |
| Entity Type | Individual |
| Full Name | MATTHEW SIMON SLATER |
| Credential | MD |
| Practice Address |
2500 Ne Neff Rd Bend OR 97701-6015 |
| Mailing Address |
2500 Ne Neff Road St. Charles Medical Center Bend OR 97701-6353 |
| Practice Telephone | 5413884333 |
| Practice Fax Number | 5413883446 |
| Mailing Telephone | 5413824321 |
| Mailing Fax Number | 5417062991 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD18895 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 150101 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3181 Sw Sam Jackson Park Rd, Portland, OR 972393011 | 5034947820 | 5417062991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902058019 | Matthew James Slater | Physician Assistant | 1330 Rockefeller Ave Ste 400, Everett, WA 98201-1676 | 2008-10-21 |
| 1447883806 | Matthew G Slater | Behavior Technician | 11044 Washington Blvd Unit A, Whittier, CA 90606-3006 | 2020-02-13 |
| 1205357779 | Matthew Ruhmann Slater | Pharmacist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2017-07-05 |
| Street Address |
2500 NE NEFF RD |
| City | BEND |
| State | OR |
| Zip Code | 97701-6015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942709 | Gary D Hood | Emergency Medicine | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2005-06-14 |
| 1053927871 | Chelsey Candida Gersema | Registered Nurse | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2020-09-17 |
| 1225649205 | Jaclyn Silver | Physical Therapist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2020-08-12 |
| 1528525995 | Steven Diaz | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2019-02-21 |
| 1043783269 | Cody Weidenhaft | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2019-01-10 |
| 1063981835 | Cep America - Neurology PC | Psychiatry & Neurology | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-11-21 |
| 1447738547 | Victoria Stavish | Pharmacist | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-07-31 |
| 1457841173 | Regina M Joshi-mcgaw | Social Worker | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-05-17 |
| 1215439435 | Lesley Srikantaiah | Social Worker | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-03-03 |
| 1013419530 | Jaclyn Smith | Nurse Practitioner | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2018-02-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043237084 | Angelo A Vlessis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2006-07-16 |
| 1699706408 | Cardiothoracic Surgeon, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2705 Ne Conners Ave, #100, Bend, OR 97701-6904 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952670713 | Richard Dennis Chapman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 23730 Sw Stafford Hill Dr, West Linn, OR 97068-9628 | 2011-12-23 |
| 1851611008 | Nathan David Airhart | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9427 Sw Barnes Rd Ste 593, Portland, OR 97225-6640 | 2010-06-09 |
| 1225201023 | Katherine Jones | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 875 Oak St Se Ste 5020, Salem, OR 97301-3997 | 2008-04-12 |
| 1730388398 | James Wellington Asaph | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4401 Sw Westdale Dr, Portland, OR 97221-3158 | 2007-07-13 |
| 1205037272 | Daniel Patrick Werle | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3181 Sw Sam Jackson Park Road., Mail Code L353 Ohsu Division of Cardiothoracic Surgery, Portland, OR 97239 | 2007-05-29 |
| 1518015858 | George R Wilkinson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2954 Siskiyou Blvd., Medford, OR 97504 | 2007-01-05 |
| 1255490850 | David G. Tse | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10100 Se Sunnyside Rd Fl 2, Clackamas, OR 97015-8970 | 2006-12-08 |
| 1649250895 | Sanjeev Sharma | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 940 Royal Ave, Suite 450, Medford, OR 97504-6193 | 2006-01-21 |
| 1972949253 | Gurion Seth Lantz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3181 Sw Sam Jackson Park Rd., Mail Code L353, Portland, OR 97239 | 2013-05-14 |
| 1063855161 | App Cardiovascular Surgeons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 520 Medical Center Dr, Suite 201, Medford, OR 97504-4334 | 2013-04-09 |
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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.