Michael Dewayne Slade

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

300 E Main St
Ste 1000 Uscg Maintenance and Logistics Command Atlanti
Norfolk, VA 23510

Phone

(757) 628-4380

NPI assigned

Oct 13, 2006

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

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407946965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 BENNINGTON CIR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234643725",
            "telephone_number": "757-628-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST",
            "address_2": "STE 1000 USCG MAINTENANCE AND LOGISTICS COMMAND ATLANTI",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23510",
            "telephone_number": "757-628-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADE",
        "first_name": "MICHAEL",
        "middle_name": "DEWAYNE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skmy Therapy LLC
• Garth C Skoropowski, M.D.
• Ruta Jane Skrinska, M.D.
• Lynelle W Slade-Byrd, MD
• Kaitlin Anne Slade
• Sue Annette Slade, PNP-BC
• Trisha Dawn Slade, RN
• Emma Ruth Slater, DO
• Elizabeth Slaughter
• Jaclyn Yenter Slaughter

• Other Technician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Other Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.