Kelly Slater-degree (NPI# 1104926724, PAC ID# 2365743200) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104926724 |
| PAC ID by PECOS | 2365743200 |
| Professional Enrollment ID | I20151217001189 |
| Full Name | Kelly Slater-degree |
| Organization Legal Name | DOUGLAS K ULMER MD, A MEDICAL CORPORATION |
| Address |
1045 Atlantic Ave Suite 819 Long Beach CA 90813-3410 |
| Phone Number | 5624355621 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3173556495 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050191 | ST MARY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1045 Atlantic Ave, Suite 819, Long Beach, CA 90813-3410 | 5624355621 | DOUGLAS K ULMER MD, A MEDICAL CORPORATION |
| Organization Legal Name | DOUGLAS K ULMER MD, A MEDICAL CORPORATION |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas K Ulmer | Dermatology | Douglas K Ulmer Md, A Medical Corporation | 1045 Atlantic Ave, Suite 819, Long Beach, CA 90813-3410 |
| James G Wu | Dermatology | Douglas K Ulmer Md, A Medical Corporation | 1045 Atlantic Ave, Suite 819, Long Beach, CA 90813-3410 |
| Street Address |
1045 ATLANTIC AVE SUITE 819 |
| City | LONG BEACH |
| State | CA |
| Zip | 90813-3410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Corinne Kaveny | Physician Assistant | Prohealth Partners, A Medical Group | 1045 Atlantic Ave, Suite 1019, Long Beach, CA 90813-3413 |
| Bertram Sohl | Obstetrics/gynecology | Reproductive Associates Medical Group Inc | 1045 Atlantic Ave, Suite 508, Long Beach, CA 90813-3411 |
| Neill D Ramos | Internal Medicine | Dignity Health | 1045 Atlantic Ave, Suite 708, Long Beach, CA 90813-3410 |
| Hripsime Gharibjanyan | Internal Medicine | Dignity Health | 1045 Atlantic Ave, Suite 708, Long Beach, CA 90813-3410 |
| Rabin Mizrahi | Obstetrics/gynecology | Reproductive Associates Medical Group Inc | 1045 Atlantic Ave, Suite 508, Long Beach, CA 90813-3411 |
| Terrance W Dushenko | Psychologist, Clinical | 1045 Atlantic Ave, Suite 806, Long Beach, CA 90813-3411 | |
| Fataneh Amidi | Obstetrics/gynecology | Reproductive Associates Medical Group Inc | 1045 Atlantic Ave, Suite 508, Long Beach, CA 90813-3411 |
| Farah H Mahmood | Rheumatology | Prohealth Partners, A Medical Group | 1045 Atlantic Ave, Suite 1019, Long Beach, CA 90813-3413 |
| Sharareh Shahangian | Pulmonary Disease | Dignity Health | 1045 Atlantic Ave, Suite 708, Long Beach, CA 90813-3410 |
| Anoop K Shah | Gastroenterology | 1045 Atlantic Ave, Suite 907, Long Beach, CA 90813-3416 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arlene M Vernon | Emergency Medicine | Stephen R Shea Md Inc | St Mary Medical Ctr, Long Beach, CA 90813 |
| Mark H Joyner | Emergency Medicine | Stephen R Shea Md Inc | St Mary Medical Ctr, Long Beach, CA 90813 |
| Keith D Stamler | Emergency Medicine | Stephen R Shea Md Inc | St Mary Medical Ctr, Long Beach, CA 90813 |
| Shana Jordan | Family Medicine | County of Los Angeles | 1333 Chestnut Ave, Long Beach, CA 90813-2944 |
| Matthew Wang | Optometry | County of Los Angeles | 1333 Chestnut Ave, Long Beach, CA 90813-2944 |
| Jeffrey T Barbosa | Family Medicine | County of Los Angeles | 1333 Chestnut Ave, Long Beach, CA 90813-2944 |
| John S Chou | Family Medicine | County of Los Angeles | 1333 Chestnut Ave, Long Beach, CA 90813-2944 |
| Cat Tien P Vo | Pediatric Medicine | County of Los Angeles | 1333 Chestnut Ave, Long Beach, CA 90813-2944 |
| Rachel A Feit-leichman | Ophthalmology | County of Los Angeles | 1333 Chestnut Ave, Long Beach, CA 90813-2944 |
| Eric S Daar | Infectious Disease | County of Los Angeles | 1333 Chestnut Ave, Long Beach, CA 90813-2944 |
| Find all physicians in zip 90813 | |||
| City | LONG BEACH |
| Zip Code | 90813 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LONG BEACH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kelly Slater-degree.
| 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.