JONATHAN D SLATER (NPI# 1962474809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962474809 |
| Entity Type | Individual |
| Full Name | JONATHAN D SLATER |
| Credential | DO |
| Practice Address |
2705 Degarmo Dr Bloomington IL 61704-9177 |
| Practice Telephone | 3098286047 |
| Mailing Telephone | 3098286047 |
| Enumeration Date | 2006-02-04 |
| Last Update Date | 2010-10-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 336-033203 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568437903 | Jonathan B. Slater | Chiropractor | 90 E Tasman Dr, San Jose, CA 95134-1617 | 2006-02-21 |
| 1184950248 | Jonathan Paul Slater | Physical Therapist | 6120 Stadium Dr, Kalamazoo, MI 49009-3022 | 2009-10-26 |
| 1659303220 | Jonathan Slater | Psychiatry & Neurology | 622 W 168th St, Transplant - Ph 14, New York, NY 10032-3720 | 2006-07-06 |
| 1992788160 | Jonathan Slater | Internal Medicine | 100 Wason Ave, Suite 200, Springfield, MA 01107-1381 | 2005-11-22 |
| Street Address |
2705 DEGARMO DR |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-9177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710181664 | Obidike Richard Akahara | Emergency Medicine | 1129 Devonshire Curv, Bloomington, MN 55431-5016 | 2007-06-13 |
| 1801826235 | M Allan Griffith | Emergency Medicine | 1701 East College Ave, Bloomington, IL 61701 | 2006-07-03 |
| 1639109945 | Emergency Medicine Professionals of Indiana LLC | Emergency Medicine | 4011 So Monroe Medical Park Blvd, Bloomington, IN 47403-9765 | 2006-07-03 |
| 1326076654 | David Gill | Emergency Medicine | 24 Conway Cir, Bloomington, IL 61704-8285 | 2006-06-28 |
| 1184691362 | Steven Timothy Tvedte | Emergency Medicine | 5409 Mount Normandale Curv, Bloomington, MN 55437-1019 | 2006-03-07 |
| 1598730152 | Carson R Harris | Emergency Medicine | 8040 Old Cedar Ave S Ste 100, Bloomington, MN 55425-1205 | 2006-02-17 |
| 1487634226 | Luis A Martinez | Emergency Medicine | 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 | 2006-01-18 |
| 1043297278 | Ronald C Jenson | Emergency Medicine | 4794 Red Oak Ln, Bloomington, IN 47401-9100 | 2005-12-29 |
| 1801871934 | Emergency Physicians Professional Association | Emergency Medicine | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435-5435 | 2005-12-13 |
| 1750383139 | Liza M. Pilch | Emergency Medicine | 2200 E Washington St, Bloomington, IL 61701-4364 | 2005-08-15 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
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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.