Provider Demographics
NPI:1154388023
Name:SLOAN, PEARCE (DPM)
Entity type:Individual
Prefix:DR
First Name:PEARCE
Middle Name:
Last Name:SLOAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 LONG POND RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-5002
Mailing Address - Country:US
Mailing Address - Phone:585-723-3630
Mailing Address - Fax:585-723-3689
Practice Address - Street 1:1081 LONG POND RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-5002
Practice Address - Country:US
Practice Address - Phone:585-723-3630
Practice Address - Fax:585-723-3689
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004432213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01527206Medicaid
NY101965EQOtherPREFERRED CARE
NY010044320OtherEXCELLUS
NY010044320OtherEXCELLUS
NY01527206Medicaid