Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacy Wayne Slade, PA-C

Individual provider Physician Assistant · NPI 1669996567

Stacy Wayne Slade, PA-C is a Physician Assistant in Las Vegas, Nevada. Qualified in 2015, 11 years ago. Practices with Las Vegas Urology LLP, a 51-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
11
Licensed in
NV
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4475 S Eastern Ave
Las Vegas, NV 89119-7826
Phone: (702) 669-5840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1852 (NV)

Record details

NPI number1669996567
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 1, 2017
Last updated in NPPESJuly 17, 2024
Certification dateJuly 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Las Vegas Urology Llp — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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