Basic Information
| Provider Information | |||||||||
| NPI: | 1376653782 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SLOAN | ||||||||
| FirstName: | KARIN | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 143 LONGWATER DR | ||||||||
| Address2: | |||||||||
| City: | NORWELL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020611683 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7818785200 | ||||||||
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| Practice Location | |||||||||
| Address1: | 143 LONGWATER DR | ||||||||
| Address2: | |||||||||
| City: | NORWELL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020611683 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7818785200 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2006 | ||||||||
| LastUpdateDate: | 08/29/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 226990 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0200X | 226990 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | 226990 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
ID Information
| ID | Type | State | Issuer | Description | 04-2297845 | 01 | MULTI-PLAN | OTHER | J44101 | 01 | MA | BLUE CROSS BUE SHIELD | OTHER | 04-2297845 | 01 | HCVM | OTHER | 04-2297845 | 01 | TRICARE | OTHER | AA491980 | 01 | HARVARD PILGRIM | OTHER | 044-2297845 | 01 | UNITED HEALTH CARE | OTHER | 9326163 | 01 | AETNA | OTHER | 110006020 | 05 | MA | MEDICAID | 110080595A | 05 | MA | MEDICAID | 097193 | 01 | TUFTS AND TMP | OTHER | 1376653782 | 01 | NEIGHBORHOOD HEALTH CENTER | OTHER |