MARY SLATTERY (NPI# 1548685050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548685050 |
| Entity Type | Individual |
| Full Name | MARY SLATTERY |
| Practice Address |
808 E Tomar Pl Sioux Falls SD 57105-7019 |
| Practice Telephone | 6053315659 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
26736 | MN | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2172 | SD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871504274 | Mary Kathleen Slattery | Social Worker | 3949 Corrales Rd, Ste 180, Corrales, NM 87048-9349 | 2006-08-10 |
| Street Address |
808 E TOMAR PL |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-7019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891782645 | Kevin J Vaska | Internal Medicine | 6709 S Minnesota Ave Ste 101, Sioux Falls, SD 57108-2593 | 2005-10-05 |
| 1023013075 | Lloyd E Solberg | Internal Medicine | 1301 W 18th St, Sioux Falls, SD 57105-0401 | 2005-06-16 |
| 1518527399 | Csd Care of Sd, LLC | Internal Medicine | 519 W 22nd St Ste 100, Sioux Falls, SD 57105-1745 | 2019-06-14 |
| 1154674786 | Mohammed Andaleeb Chowdhury | Internal Medicine | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2012-10-19 |
| 1972879161 | John Francis Wagener | Internal Medicine | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2012-04-01 |
| 1215166921 | Ewa A Konik | Internal Medicine | 4520 W 69th St, Sioux Falls, SD 57108-8148 | 2009-07-02 |
| 1831302009 | Orvar Jonsson | Internal Medicine | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-05-07 |
| 1740493964 | Maria Stys | Internal Medicine | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2007-05-07 |
| 1447304076 | Donald T Bishop | Internal Medicine | 911 E 20th St, Suite 405, Sioux Falls, SD 57105-1042 | 2007-01-22 |
| 1912076100 | Sioux Falls Cardiovascular PC | Internal Medicine | 6709 S Minnesota Ave Ste 101, Sioux Falls, SD 57108-2593 | 2006-11-06 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.