Active NPI
Slade Dollarhide
- Family Nurse Practitioner
- Valliant, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 220185
- Practice address
- 101 E Terri Dr
Valliant, OK 74764-6801 - Phone
- (580) 933-9300
- NPI assigned
- Jan 30, 2024
- Last updated
- Sep 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 220185 | OK | Primary |
| Registered Nurse | 163W00000X | R0131124 | OK |
Addresses
Primary practice location
101 E Terri Dr
Valliant, OK 74764-6801
Mailing address
8794 Goodwater Rd
Haworth, OK 74740-5396
Other practice location 1
1425 E Lincoln Rd Ste B3
Idabel, OK 74745-7345
Phone (580) 286-2947
Other practice location 2
8794 Goodwater Rd
Haworth, OK 74740-5396
Phone (580) 612-6560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1315 S Lynn LN
Idabel, OK 74745-6845
Phone (580) 286-2947
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0131124 | OK | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCurtain Memorial Medical Management, Inc. | Current | Accepting new patients | |
| McCurtain Memorial Medical Management, Inc. | Current | Accepting new patients | |
| McCurtain Memorial Medical Management, Inc. | Current | Accepting new patients | |
| McCurtain Memorial Medical Management, Inc. | Past | Accepting new patients |
Locations
1301 E Lincoln Rd
Idabel, OK 74745
Phone (580) 208-3103
1315 S Lynn Ln
Idabel, OK 74745
Phone (580) 286-2947
1425 E Lincoln Rd
Ste B3
Idabel, OK 74745
Phone (580) 286-2947
101 E Terri Dr
Valliant, OK 74764
Phone (580) 933-9025
Interoperability endpoints
- slade.dollarhide.1@19961.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba McCurtain Memorial Hospital
- Rural Acute Care Hospital
- Idabel, OK
- NPI 1629020177
-
- Certified Registered Nurse Anesthetist
- Idabel, OK
- NPI 1184838203
-
dba McCurtain Memorial Surgical Clinic
- Surgery Physician
- Idabel, OK
- NPI 1356506109
-
dba McCurtain Memorial Hospital
- Critical Access Hospital
- Idabel, OK
- NPI 1063900975
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba McCurtain Memorial Hospital
- Critical Access Hospital
- Idabel, OK
- NPI 1063900975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1114789575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8794 GOODWATER RD",
"city": "HAWORTH",
"state": "OK",
"postal_code": "747405396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E TERRI DR",
"city": "VALLIANT",
"state": "OK",
"postal_code": "747646801",
"telephone_number": "580-933-9300"
}
],
"practiceLocations": [
{
"address_1": "1425 E Lincoln Rd Ste B3",
"address_purpose": "LOCATION",
"city": "Idabel",
"state": "OK",
"postal_code": "747457345",
"country_code": "US",
"telephone_number": "580-286-2947",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8794 Goodwater Rd",
"address_purpose": "LOCATION",
"city": "Haworth",
"state": "OK",
"postal_code": "747405396",
"country_code": "US",
"telephone_number": "580-612-6560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOLLARHIDE",
"first_name": "SLADE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-30",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "220185",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "R0131124",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valliant, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.