DR. STEPHEN F SLACK (NPI# 1619080835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619080835 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN F SLACK |
| Credential | M.D. |
| Practice Address |
1801 Nw Market St Suite 100 Seattle WA 98107-3987 |
| Practice Telephone | 2067829335 |
| Practice Fax Number | 2067818713 |
| Mailing Telephone | (206) 782-9335 |
| Mailing Fax Number | 2067818713 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD00023080 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MD # | 00023080 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 903 Medical Center Dr, Arlington, WA 982231697 | 3604350242 | 3604259135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386141539 | Stephen Daniel Slack | Contractor | 458 W 61st St, Shreveport, LA 71106-2511 | 2018-04-12 |
| Street Address |
1801 NW MARKET ST SUITE 100 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98107-3987 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952384711 | David Tadashi Aoyama | Internal Medicine | 1801 Nw Market St, Suite 309, Seattle, WA 98107-3987 | 2005-11-25 |
| 1780110064 | Dominick Curalli, Dds, Pllc | Dentist | 1801 Nw Market St, Ste 312, Seattle, WA 98107-3987 | 2017-05-05 |
| 1801334305 | William Ewing | Pharmacist | 1801 Nw Market St, 104, Seattle, WA 98107-3987 | 2017-02-03 |
| 1124479951 | Mena Salib | Family Medicine | 1801 Nw Market St, Seattle, WA 98107-3987 | 2016-06-22 |
| 1376923961 | Alexandra Duroc-danner | Massage Therapist | 1801 Nw Market St, Suite 408, Seattle, WA 98107-3987 | 2015-06-09 |
| 1821478686 | The Polyclinic | Allergy & Immunology | 1801 Nw Market St, Seattle, WA 98107-3987 | 2015-06-05 |
| 1457742660 | Carrie Hart | Massage Therapist | 1801 Nw Market St, Ste. 408, Seattle, WA 98107-3987 | 2015-02-10 |
| 1811385438 | Eileen Elizabeth Chang | Nurse Practitioner | 1801 Nw Market St, Seattle, WA 98107-3987 | 2015-01-05 |
| 1245668631 | John K Tidwell Dds Ps | Dentist | 1801 Nw Market St, Suite 108, Seattle, WA 98107-3987 | 2013-10-22 |
| 1457783029 | Ailee Marie Yates | Massage Therapist | 1801 Nw Market St, Seattle, WA 98107-3987 | 2013-08-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
| 1619519493 | Charles Aljon Corpuz Agabin | Pharmacist | 1448 Nw Market Street, Suite 100, Seattle, WA 98107 | 2019-10-12 |
| 1427610682 | Dalillah Bernal Nord | Advanced Practice Midwife | 5300 Tallman Ave Nw Ste 420, Seattle, WA 98107 | 2019-07-08 |
| 1740849660 | Harmonic Healing LLC | Acupuncturist | 1551 Nw 54th Street Suite 204, Seattle, WA 98107 | 2019-06-13 |
| 1275198285 | Hsu Tsuchikawa and Wong Pllc | Clinic/Center | 1453 Nw 54th Street, Suite A, Seattle, WA 98107 | 2019-05-06 |
| 1801363502 | Bianca Marie Maggio | Physical Therapist | 5300 Tallman Ave, Outpatient Rehab Services 1-south, Seattle, WA 98107 | 2018-10-31 |
| 1831690726 | Sara Blackmur | Social Worker | 1417 Nw 54th St Ste 324, Seattle, WA 98107 | 2018-02-26 |
| 1225553159 | Jennifer Chain | Psychologist | 5306 Ballard Ave Nw Ste 212, Seattle, WA 98107 | 2017-08-11 |
| 1184148413 | John Julian Heal | Occupational Therapy Assistant | 5440 Leary Ave Nw, Unit 321, Seattle, WA 98107 | 2017-07-28 |
| 1710416169 | Heather Tracey Marie Osias | Social Worker | 2251 Nw 60th Street Apt B, Seattle, WA 98107 | 2017-06-08 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 |
|---|---|---|---|---|
| 1275982720 | Ralph Nicholas Burns | Obstetrics & Gynecology | 1959 Ne Pacific St Box 356460, Seattle, WA 98195-3233 | 2016-06-06 |
| 1538554357 | Hayley Jane Mackinnon | Obstetrics & Gynecology | 1959 Ne Pacific St. Box 356460, University of Washington Department of Obgyn, Seattle, WA 98109 | 2015-03-30 |
| 1033523675 | Tariro Mupombwa | Obstetrics & Gynecology | Virginia Mason Medical Center, 1100 9th Avenue, X8-gyn, Seattle, WA 98104 | 2014-06-11 |
| 1386989804 | Laura Marie Macpherson | Obstetrics & Gynecology | 5243 S Pearl St, Seattle, WA 98118-2147 | 2012-12-10 |
| 1073801379 | Joelle E. Thomas | Obstetrics & Gynecology | 1101 Madison St Ste 901, Seattle, WA 98104-1306 | 2011-07-20 |
| 1497047807 | Elizabeth Kay Harrington | Obstetrics & Gynecology | 4245 Roosevelt Way Ne Fl 4, Seattle, WA 98105-6008 | 2011-05-04 |
| 1629388921 | Ballard Obgyn, P.C. | Obstetrics & Gynecology | 1801 Nw Market Street Suite 100, Seattle, WA 98107 | 2010-10-20 |
| 1134438849 | Tzu S Chiang | Obstetrics & Gynecology | 4735 E. Marginal Way South, Seattle, WA 98134 | 2010-09-29 |
| 1245494830 | Sara A Durkee | Obstetrics & Gynecology | Dept of Ob Gyn Hsc Bb661, 1959 Ne Pacific Street, Seattle, WA 98195-0001 | 2008-07-14 |
| 1720288376 | Nicole Smith Saint Clair | Obstetrics & Gynecology | 161 30th Ave, Seattle, WA 98122-6205 | 2007-07-23 |
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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.