Provider Demographics
NPI:1083665863
Name:SLEATER, JOSEPH PATRICK (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:PATRICK
Last Name:SLEATER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 419
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0419
Mailing Address - Country:US
Mailing Address - Phone:828-366-1150
Mailing Address - Fax:828-586-8209
Practice Address - Street 1:509 BILTMORE AVE
Practice Address - Street 2:PATHOLOGY DEPT
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-253-0762
Practice Address - Fax:828-254-4892
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9600739207ZD0900X
NC9600739207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8977008Medicaid
NC77008OtherBCBS NC
NC220029830OtherRAILROAD MEDICARE
NC8977008Medicaid
NC220029830OtherRAILROAD MEDICARE