Provider Demographics
NPI:1083669535
Name:HOOKS, SAMUEL BENNETT SLADE III (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:BENNETT SLADE
Last Name:HOOKS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:BENNETT
Other - Middle Name:
Other - Last Name:HOOKS
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1720 SPRINGHILL AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36604-1410
Mailing Address - Country:US
Mailing Address - Phone:251-435-1200
Mailing Address - Fax:
Practice Address - Street 1:1720 SPRINGHILL AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1410
Practice Address - Country:US
Practice Address - Phone:251-435-1200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38197207R00000X
AL00027276207R00000X
TXN2568207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP2286011OtherFIRST HEALTH
TN7473694OtherAETNA
TN8890116OtherCIGNA
TN4106745OtherBCBS
TNI32091OtherHEALTHSPRING
TN4106745OtherTENNCARE
TNP00243561OtherR/R MEDICARE
TN3330681Medicaid
TN3330681Medicaid
TN3330681Medicare ID - Type Unspecified