ROBERT SLACKMAN (NPI# 1609842954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609842954 |
| Entity Type | Individual |
| Full Name | ROBERT SLACKMAN |
| Credential | MD |
| Practice Address |
1030 S Jefferson St Suite 109 Roanoke VA 24016-4418 |
| Mailing Address |
3419 W Ridge Cir Sw Roanoke VA 24014-4239 |
| Practice Telephone | 5409854099 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2011-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 0101-053475 | VA | Allopathic & Osteopathic Physicians |
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
0101-053475 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 6206816 | 05 | |
| VA | 1609842954 | 05 |
| Street Address |
1030 S JEFFERSON ST SUITE 109 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538153796 | Carl Hill Bivens Jr. | Internal Medicine | 1030 S Jefferson St, Ste 200, Roanoke, VA 24016-4418 | 2005-09-02 |
| 1962737213 | Erin Jones Myers | Physician Assistant | 1030 S Jefferson St, Suite 200, Roanoke, VA 24016-4418 | 2009-10-05 |
| 1679717433 | Michael Steven Sawvel | Neurological Surgery | 1030 S Jefferson St, Suite 106, Roanoke, VA 24016-4418 | 2009-04-23 |
| 1407016082 | Eric Marvin | Neurological Surgery | 1030 S Jefferson St, Roanoke, VA 24016-4418 | 2008-06-17 |
| 1285714667 | Kelly D Henchel | Pediatrics | 1030 S Jefferson St, Suite 106, Roanoke, VA 24016-4418 | 2006-10-17 |
| 1275613473 | Endocrinology Associates Inc | Internal Medicine | 1030 S Jefferson St, Suite 200, Roanoke, VA 24016 | 2006-10-16 |
| 1104917749 | William S Elias | Internal Medicine | 1030 S Jefferson St, Suite G100, Roanoke, VA 24016 | 2006-09-27 |
| 1326143199 | Kathryn S Jones | Dietitian, Registered | 1030 S Jefferson St, Suite G101, Roanoke, VA 24016-4418 | 2006-09-14 |
| 1548372311 | Tara Ann Mitchell | Psychologist | 1030 S Jefferson St, Suite 201, Roanoke, VA 24016-4418 | 2006-08-31 |
| 1386679389 | Michole M Pineda | Pediatrics | 1030 S Jefferson St, Suite 201, Roanoke, VA 24016-4418 | 2006-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
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| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609098219 | Emily Ann Evans-hoeker | Obstetrics & Gynecology | 102 Highland Ave Se, Suite 304, Roanoke, VA 24013-2256 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568993855 | Ccrm Virginia | Obstetrics & Gynecology | 8010 Towers Crescent Dr, Vienna, VA 22182-2710 | 2017-03-27 |
| 1174987010 | Xiaohong Liu | Obstetrics & Gynecology | 601 Colley Ave Ste 413, Norfolk, VA 23507-1627 | 2016-04-06 |
| 1235497074 | Nicole Doyle | Obstetrics & Gynecology | 8501 Arlington Blvd Ste 500, Fairfax, VA 22031-4631 | 2012-04-30 |
| 1144454166 | Kay Waud | Obstetrics & Gynecology | 4040 Fairfax Dr, Arlington, VA 22203-1613 | 2009-05-05 |
| 1710127907 | Shruti Malik | Obstetrics & Gynecology | 12011 Lee Jackson Memorial Hwy Ste 302, Fairfax, VA 22033-3310 | 2009-02-27 |
| 1437376373 | Jessica H Zaret | Obstetrics & Gynecology | 300 Medical Pkwy Ste 200, Chesapeake, VA 23320 | 2007-04-20 |
| 1942329792 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 448 Viking Dr Ste 100, Virginia Beach, VA 23452-7331 | 2007-03-29 |
| 1669596599 | Susan Sarajari | Obstetrics & Gynecology | 46 S. Glebe Road, Suite 301, Arlington, VA 22204 | 2007-03-17 |
| 1457403107 | Washington Fertility Center PC | Obstetrics & Gynecology | 4316 Evergreen Lane, #l, Annandale, VA 22003 | 2007-01-16 |
| 1306906821 | Francisco M Irianni Md | Obstetrics & Gynecology | 1820 W Plaza Dr, Winchester, VA 22601-6365 | 2006-12-12 |
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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.