DR. IVAN LEWIS SLAVICH III (NPI# 1669587960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669587960 |
| Entity Type | Individual |
| Full Name | DR. IVAN LEWIS SLAVICH III |
| Credential | D.O. |
| Practice Address |
2375 Champions Blvd Auburn AL 36830-6471 |
| Practice Telephone | 3343213809 |
| Practice Fax Number | 3343213798 |
| Mailing Telephone | 3343213809 |
| Mailing Fax Number | 3343213798 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
DO222 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009911618 | 05 | |
| AL | BCBS PROVIDER NUMBER | 051542110 | 01 |
| AL | 009911604 | 05 | |
| AL | 009911617 | 05 | |
| AL | 009911607 | 05 | |
| AL | 009911613 | 05 | |
| AL | 009911614 | 05 | |
| AL | 009911621 | 05 | |
| AL | BCBS PROVIDER NUMBER | 051542105 | 01 |
| AL | 009911606 | 05 | |
| AL | BCBS PROVIDER NUMBER | 051542109 | 01 |
| AL | 009911622 | 05 | |
| AL | BCBS PROVIDER NUMBER | 051542108 | 01 |
| AL | 009911619 | 05 | |
| AL | BCBS PROVIDER NUMBER | 051542103 | 01 |
| AL | NPI | 1669587960 | 01 |
| AL | 009911616 | 05 | |
| AL | BCBS PROVIDER NUMBER | 051542107 | 01 |
| Street Address |
2375 CHAMPIONS BLVD |
| City | AUBURN |
| State | AL |
| Zip Code | 36830-6471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518959444 | Kimberly Coker Brunsting | Nurse Practitioner | 2375 Champions Blvd, 3rd Floor, Auburn, AL 36830-6471 | 2005-08-17 |
| 1942742325 | Nash Dermatology, LLC | Dermatology | 2375 Champions Blvd, Auburn, AL 36830-6471 | 2016-11-16 |
| 1063814952 | Keith Matthews | Nurse Practitioner | 2375 Champions Blvd, Auburn, AL 36830-6471 | 2014-09-23 |
| 1194078022 | James Richard Herring | Internal Medicine | 2375 Champions Blvd, Auburn, AL 36830-6471 | 2012-10-16 |
| 1760746309 | Felicia Murphy Gardner | Nurse Practitioner | 2375 Champions Blvd, Auburn, AL 36830-6601 | 2012-06-28 |
| 1699009514 | Patricia Vickery Beam | Nurse Practitioner | 2375 Champions Blvd, Auburn, AL 36830-6471 | 2009-09-24 |
| 1326201856 | Kevin Tyler Nash | Dermatology | 2375 Champions Blvd, Suite 100, Auburn, AL 36830-6471 | 2008-07-03 |
| 1265450878 | Allan Schwadron | Specialist | 2375 Champions Blvd, Auburn, AL 36830-6471 | 2006-07-18 |
| 1417975186 | John W Mitchell | Specialist | 2375 Champions Blvd, Auburn, AL 36830-6471 | 2006-07-18 |
| 1538187158 | David A Pate | Nurse Practitioner | 2375 Champions Blvd, Auburn, AL 33830-6471 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366072878 | Jayson Patrick Hairston | Student in an Organized Health Care Education/Training Program | 1188 Opelika Rd Building 700 Unit 1, Auburn, AL 36830 | 2020-01-23 |
| 1477106417 | Dunn Psychological Services, LLC | Clinic/Center | 2204 Ogletree Village Lane, Suite B, Auburn, AL 36830 | 2019-07-18 |
| 1487117982 | East Alabama Apothecary LLC | Pharmacy | 665 Opelika Roade, Suite 400, Auburn, AL 36830 | 2019-04-11 |
| 1558822759 | Shelley Orthodontics LLC | Dentist | 1957 E. Samford Ave., Ste A, Auburn, AL 36830 | 2019-03-29 |
| 1811454903 | Auburn Pharmacy | Pharmacy | 643 North Dean Road, Auburn, AL 36830 | 2019-02-25 |
| 1386121473 | Joshua D Mathis Dds LLC | Clinic/Center | 2311 Bent Creek Rd., Ste 500, Auburn, AL 36830 | 2018-07-23 |
| 1790213866 | Amy Morton Dean | Pharmacist | 717 Queens, Auburn, AL 36830 | 2017-06-01 |
| 1629519558 | Laura Walton Bell | Nurse Practitioner | 1702 Catherine Ct, Auburn, AL 36830 | 2017-03-11 |
| 1952857229 | North Dean Dental, P.C. | Clinic/Center | 867 North Dean Road, Auburn, AL 36830 | 2016-08-28 |
| 1871960302 | Beverly Harrison Doyle | Physical Therapist | 2515 E. Glenn Ave., Ste 104, Auburn, AL 36830 | 2015-09-01 |
| Find all providers in zip 36830 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659476059 | Auburn Cardiology Associates | Internal Medicine | 3262 Fortune Ct, Auburn, CA 95602-7847 | 2006-09-13 |
| 1891809992 | Rama M Godishala Mdpc | Internal Medicine | 281 Grant Avenue, Auburn, NY 13021 | 2006-08-18 |
| 1306882303 | Auburn Cardiovascular, PC | Internal Medicine | 994 Drew Ln, Auburn, AL 36830-4302 | 2006-06-20 |
| 1265494561 | Venkatesh R. Kandallu | Internal Medicine | 205 10th St Ne, Auburn, WA 98002-4019 | 2006-04-04 |
| 1407828569 | Mary L Borgstadt | Internal Medicine | 735 12th St Se, Auburn, WA 98002-6709 | 2006-02-03 |
| 1710967153 | David N Abisalih | Internal Medicine | 2 Great Falls Plaza, Auburn, ME 04210-5966 | 2006-01-20 |
| 1407831381 | Tennyson G Lee | Internal Medicine | 3200 Bell Rd, Auburn, CA 95603-9244 | 2005-12-13 |
| 1477555316 | Ramamurthy Godishala | Internal Medicine | 281 Grant Ave, Auburn, NY 13021-1421 | 2005-08-11 |
| 1558362343 | Jack Alan Pearson | Internal Medicine | 3288 Bell Rd, Auburn, CA 95603-9243 | 2005-08-03 |
| 1962056408 | Auburn Community Hospital | Internal Medicine | 17 Lansing Street, Auburn, NY 13021 | 2019-08-01 |
| Find all providers in AUBURN | ||||
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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.