Barry Slotky, M.D., S.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036-047218 Issued in IL

Legal business name

BARRY SLOTKY, M.D., S.C.

Practice address

107 N Regency Dr
Suite 3
Bloomington, IL 61701-3515

Phone

(309) 663-6338

Fax

(309) 661-5644

NPI assigned

Nov 27, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barry Slotky, M.D.

Title

Owner / President

Phone

(309) 663-6338

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1144401670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N REGENCY DR",
            "address_2": "SUITE 3",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013515",
            "telephone_number": "309-663-6338",
            "fax_number": "309-661-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N REGENCY DR",
            "address_2": "SUITE 3",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617013515",
            "telephone_number": "309-663-6338",
            "fax_number": "309-661-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY SLOTKY, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "SLOTKY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "309-663-6338",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-047218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Theodore Barkulis Sr., RPH
• Wesley Barlow
• Gabriela N Barnas
• Dariell K Barnes
• Seth Thomas Barnett, DMD
• Nicholas David Bartelsmeyer, PA-C
• Meagan Bartley
• Sreenivasa Basavanthappa, MD
• Tonya Lynn Bassett, MSW, CADC
• Aneetam Bassi, DDS

• Obstetrics & Gynecology Physician in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.