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MR. DARRYL SPENCER SLACK PA-C
NPI 1801909650
Physician Assistant - Medical in Hagerstown, MD

Active since August 16, 2006
11110 MEDICAL CAMPUS ROAD, SUITE 147, MERITUS HEALTH SYSTEM, HAGERSTOWN, MD 21742(240) 313-9600(240) 313-9601 Get Directions Write a Review

NPPES record last updated: September 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Darryl Spencer Slack Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DARRYL SPENCER SLACK PA-C (NPI 1801909650) is an individual medical provider in Hagerstown, Maryland, licensed in Maryland (C0000715) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1801909650
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. DARRYL SPENCER SLACKCredential: PA-C
Location Address11110 MEDICAL CAMPUS ROAD, SUITE 147, MERITUS HEALTH SYSTEMHagerstown, MD 21742
Mailing Address12911 Clopper RdHagerstown, MD 21742-4811 · (240) 527-4378 · Fax (240) 313-9601
Phone(240) 313-9600
Fax(240) 313-9601
Sole ProprietorNo
Enumeration DateAugust 16, 2006
Last NPPES UpdateSeptember 18, 2013
✔ NPI 1801909650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C0000715
11110 MEDICAL CAMPUS ROAD, SUITE 147, Hagerstown, MD 21742
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Other Identifiers 2

Medicare UPINP8477
OtherC0000715MD · State License #

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Darryl Slack's NPI number?

The NPI number for Darryl Slack is 1801909650. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Darryl Slack located?

Darryl Slack practices at 11110 Medical Campus Road, Suite 147 Meritus Health System, Hagerstown, MD 21742. The listed phone number is (240) 313-9600.

What is Darryl Slack's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Darryl Slack was last updated on September 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.