Theodore L Slade
GS PHYSICIAN SERVICES


Address: 701 E Marshall Ave, 504 Good Shepherd Medical Associates, Longview, TX 75601-5544
Phone: 9033152777

Theodore L Slade (NPI# 1447249552, PAC ID# 0244214179) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.

Physician Overview

Nation Provider ID (NPI) 1447249552
PAC ID by PECOS 0244214179
Professional Enrollment ID I20040617000013
Full Name Theodore L Slade
Organization Legal Name GS PHYSICIAN SERVICES
Address 701 E Marshall Ave
504 Good Shepherd Medical Associates
Longview
TX 75601-5544
Phone Number 9033152777
Gender M
Credential MD
Medical School UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduation Year 1976
Primary Specialty NEUROSURGERY
Group Practice PAC ID 4385638907
Number of Group Practice Members 86
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450037 GOOD SHEPHERD MEDICAL CENTER
450032 GOOD SHEPHERD MEDICAL CENTER MARSHALL
450702 LONGVIEW REGIONAL MEDICAL CENTER

Other Locations

Address Phone Organization
701 E Marshall Ave, 504 Good Shepherd Medical Associates, Longview, TX 75601-5544 9033152777 GS PHYSICIAN SERVICES
701 E Marshall Ave, Longview, TX 75601-5544 9033152777 GS PHYSICIAN SERVICES
701 E Marshall Ave, Longview, TX 75601-5595 9033152714 TRINITY CLINIC
701 E Marshall Ave, 400 Christus Trinity Clinic, Longview, TX 75601-5595 9033152714 TRINITY CLINIC

Organization Information

Organization Legal Name GS PHYSICIAN SERVICES
Physicians 6

Physicians with the same organization

Name Specialty Organization Address
Brittany Louise Straach Nurse Practitioner Gs Physician Services 1761 W Loop, Suite 281, Longview, TX 75604-2734
Yogesh G Pai Pediatric Medicine Gs Physician Services 1600 Broadway Ave, Gladewater, TX 75647-5040
Suzanne Michelle Gomez-diaz Pediatric Medicine Gs Physician Services 700 E Marshall Ave, Longview, TX 75601-5580
Stacy Leigh Wilkinson Family Practice Gs Physician Services 1761 W Loop, Suite 281, Longview, TX 75604-2734
William J Hollas Family Practice Gs Physician Services 1600 Broadway Ave, Gladewater, TX 75647-5040

Office Location

Street Address 701 E MARSHALL AVE
504 GOOD SHEPHERD MEDICAL ASSOCIATES
City LONGVIEW
State TX
Zip 75601-5544

Physicians in the same location

Name Specialty Organization Address
Sally G Herring Nurse Practitioner Trinity Clinic 701 E Marshall Ave, 200 Christus Trinity Clinic, Longview, TX 75601-5544
Shafik Hanna-moussa Interventional Cardiology Trinity Clinic 701 E Marshall Ave, 410 Christus Trinity Clinic, Longview, TX 75601-5595
Peter Joseph Napoli Cardiac Surgery Trinity Clinic 701 E Marshall Ave, 504 Christus Trinity Clinic, Longview, TX 75601-5544
Narasimha Sastry Jatavallabhula Neurosurgery Trinity Clinic 701 E Marshall Ave, 410 Christus Trinity Clinic, Longview, TX 75601-5595

Physicians in the same zip code

Name Specialty Organization Address
Daytral Matasha Brown Nurse Practitioner 103 Woodbine Pl A, The Beverly Clinic, Longview, TX 75601-2912
Andrea M Marjason Clinical Social Worker Sabine Valley Regional Mhmr Center 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912
Michelle Ann Vess Physician Assistant Sabine Valley Regional Mhmr Center 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912
Donald Winsted Psychologist, Clinical 103 Woodbine Pl A, Longview, TX 75601-2912
Courtney Elizabeth Treat Physician Assistant Sabine Valley Regional Mhmr Center 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912
Jeremiah R Sanders Nurse Practitioner Sabine Valley Regional Mhmr Center 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912
Carrie D Hinton Nurse Practitioner Sabine Valley Regional Mhmr Center 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912
Gracie M Adkisson Nurse Practitioner Sabine Valley Regional Mhmr Center 107 Woodbine Pl, Longview, TX 75601-2912
Debbie L Anderson Clinical Social Worker Sabine Valley Regional Mhmr Center 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912
Thomas Jay Dehaven Ophthalmology Trinity Clinic 1705 Judson Rd, Longview, TX 75601-2938
Find all physicians in zip 75601

Competitor

Search similar physicians

City LONGVIEW
Zip Code 75601
Specialty NEUROSURGERY
City + Specialty LONGVIEW + NEUROSURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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