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

Tyler Slade, DO

Individual provider Emergency Medicine Physician · NPI 1881191260

Tyler Slade, DO is an Emergency Medicine in Springfield, Missouri. Graduated from Pacific NW Un of Hs, Col of Osteopathic Medicine in 2018, 8 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Idaho and Missouri.

Years since qualifying
8
Trained at
Pacific NW Un of Hs, Col of Osteopathic Medicine
Licensed in
ID, MO
In the registry since
2018
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1235 E Cherokee St
Springfield, MO 65804-2203
Phone: (417) 820-2115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 801 Pole Line Rd W, Twin Falls, ID 83301-5810 — (208) 814-1440
  • 1102 W 32nd St, Joplin, MO 64804-3503 — (417) 347-1111
  • 100 Hospital Dr, Lebanon, MO 65536-9210 — (417) 533-6100

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2021012138 (MO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence O-1955 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1881191260
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 11, 2018
Last updated in NPPESJune 10, 2024
Certification dateJune 10, 2024
Mailing address1235 E Cherokee St, Springfield, MO 65804-2203

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolPACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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