Joanna B. Sloan MD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD00029104 Issued in WA

Legal business name

JOANNA B. SLOAN MD

Practice address

1515 116TH Ave NE
Suite 307
Bellevue, WA 98004-3811

Phone

(425) 899-4300

Fax

(425) 688-8850

NPI assigned

Nov 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joanna B Sloan, MD PH.D

Title

Owner

Phone

(425) 899-4300

Specialties & licenses 1

Addresses

Other names 1

• Evergreen Dermatology Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Taj Mahalia Rock, PHYSICIAN ASSISTANT

  • Dermatology Physician
  • Kirkland, WA
  • NPI 1801973219
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1154400166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 116TH AVE NE",
            "address_2": "SUITE 307",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043811",
            "telephone_number": "425-899-4300",
            "fax_number": "425-688-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 116TH AVE NE",
            "address_2": "SUITE 307",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043811",
            "telephone_number": "425-899-4300",
            "fax_number": "425-688-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNA B. SLOAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-899-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PH.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MD00029104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Dermatology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JKW Medical Group
• Vickie Jo, MA, LMHCA
• Yoon Sun Jo
• Yun Hee Jo, DDS
• Zion Lily Jo, MACP
• Mawaddah N Joban
• Aji Kah Jobe, DH
• Valerija Jocic
• Johann Yi DDS PLLC
• Leslie Johannes, M.ED., LMFT

• Clinic/Center in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.