Provider Demographics
NPI:1962408344
Name:SLEMENDA, WILLIAM DENNIS (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:DENNIS
Last Name:SLEMENDA
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 1:605 SHARON RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-1919
Mailing Address - Country:US
Mailing Address - Phone:724-773-4502
Mailing Address - Fax:724-770-7906
Practice Address - Street 1:605 SHARON RD
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-1919
Practice Address - Country:US
Practice Address - Phone:724-773-4502
Practice Address - Fax:724-770-7906
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026928E207RC0000X, 207RI0011X
OH35060116S207RC0000X
OH35060116207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00990016Medicaid
PAB35340Medicare UPIN
PA00990016Medicaid