Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sam Willden Slade

Individual provider Emergency Medicine Physician · NPI 1972041093

Sam Willden Slade is an Emergency Medicine in Kingman, Arizona. Graduated from Touro Un Col of Osteopathic Medicine, Henderson in 2017, 9 years ago. Practices with Lutheran Hospital Association of the San Luis Valley, a 150-clinician group and accepts Medicare assignment. Licensed in Arizona and Colorado.

Years since qualifying
9
Trained at
Touro Un Col of Osteopathic Medicine, Henderson
Licensed in
AZ, CO
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone: (928) 757-0649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence CDR.0001413 (CO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 007800 (AZ)

Record details

NPI number1972041093
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 9, 2017
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021
Mailing address2611 Diamond Spur St, Kingman, AZ 86401-7323

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated 2017 (9 years in practice)
Group practice Lutheran Hospital Association Of The San Luis Valley — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kingman