Colleen Mary Sluder, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H0061487 Issued in MD

Practice address

3381 Phillis Blvd
Myrtle Beach, SC 29577-1560

Phone

(843) 477-0177

NPI assigned

Apr 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1740243575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3381 PHILLIS BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771560",
            "telephone_number": "843-477-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3381 PHILLIS BLVD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771560",
            "telephone_number": "843-477-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLUDER",
        "first_name": "COLLEEN",
        "middle_name": "MARY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H0061487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405309500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Katherine Sloan, LDO
• Carl F Sloan, M.D.
• Frank K. Sloan Jr., M.D.
• Theresa Elise Sloan, MED LPC LAC CCMHC
• Lauren K Slough, COTA/L
• Jessica Grace Smith Chasse, FNP-C
• Alexandra Elayne Smith
• Allison Smith
• Angella E Smith, M.D.
• Bennie L Smith, DDS

• Internal Medicine Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.