Matthew Slocum, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1585 3Rd St
Fort Johnson, LA 71459-5102

Phone

(419) 764-3404

NPI assigned

Jul 13, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: mslocum669676@direct.medicine.duke.edu

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1346812906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 8TH DIVISION RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292075700",
            "telephone_number": "419-764-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT JOHNSON",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "419-764-3404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "BLDG 683 WAIANAE AVE",
            "address_purpose": "LOCATION",
            "city": "SCHOFIELD BARRACKS",
            "state": "HI",
            "postal_code": "96786",
            "country_code": "US",
            "telephone_number": "808-433-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Jarrett White Rd",
            "address_purpose": "LOCATION",
            "city": "Tripler Army Medical Center",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "808-433-6661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 8th Division Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292075700",
            "country_code": "US",
            "telephone_number": "419-764-3404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOCUM",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Alexander Rosado, DO
• William E Rutan, DO
• Rami Sarid, MD
• Jessica Dawn Shuman
• Kimberly Marie Sicheneder, MS, OTR/L
• Briana Francina Krieger Thurmond, DO
• Zarana Bhaskarray Trivedi, DO
• Michelle Marie Turkovich, RDH
• Marguerite Wilcox, LCSW
• Shawna Marie Wilkerson, PA-C

• Physician Assistant in Fort Johnson, LA
• Providers in Fort Johnson, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.