Provider Demographics
NPI:1376653782
Name:SLOAN, KARIN A (MD)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:A
Last Name:SLOAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 LONGWATER DR
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1683
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:
Practice Address - Street 1:143 LONGWATER DR
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1683
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226990207R00000X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
04-2297845OtherMULTI-PLAN
MAJ44101OtherBLUE CROSS BUE SHIELD
04-2297845OtherHCVM
04-2297845OtherTRICARE
AA491980OtherHARVARD PILGRIM
044-2297845OtherUNITED HEALTH CARE
9326163OtherAETNA
MA110006020Medicaid
MA110080595AMedicaid
097193OtherTUFTS AND TMP
1376653782OtherNEIGHBORHOOD HEALTH CENTER
MAJ44101OtherBLUE CROSS BUE SHIELD