Sharlet Slough DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHARLET SLOUGH DO

Practice address

6115 New Copeland Rd Ste 240
Tyler, TX 75703

Phone

(903) 617-6239

Fax

(903) 617-6249

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sharlet Slough, D.O.

Title

Owner

Phone

(903) 617-6239

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Leslie Polk Van Dyke, ARNP

  • Acute Care Nurse Practitioner
  • Wichita, KS
  • NPI 1124023916
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1699867366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8819",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757118819",
            "telephone_number": "903-617-6239",
            "fax_number": "903-617-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 NEW COPELAND RD STE 240",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75703",
            "telephone_number": "903-617-6239",
            "fax_number": "903-617-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARLET SLOUGH DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "SLOUGH",
        "authorized_official_first_name": "SHARLET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-617-6239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "DG2129",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0055PW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185213901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imam H Shaik, M.D
• Mahnoor Yousif Shaikh, M.D.
• Moinuddin A. Shaikh, M.D.
• Shana Conover, M.a., LPC
• Michael James Shannon, ATP
• Tina Sharma, MD
• Sharon D Necessary MD PA
• Rachel Sharpton
• Anna Carol Sharron, M.S.,CCC/A
• Spencer Shastid, DO

• Internal Medicine Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.