Mary Slattery

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

2172 Issued in SD

Practice address

808 E Tomar PL
Sioux Falls, SD 57105-7019

Phone

(605) 331-5659

NPI assigned

Feb 20, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1548685050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E TOMAR PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571057019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 E TOMAR PL",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571057019",
            "telephone_number": "605-331-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SD",
            "license": "2172",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "26736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan L Slaba, PAC
• Slack Dental, PC (Riverview Dental)
• Caitlyn Slack
• Cale Slack, DDS
• Kaylee Marie Slagus
• Mikki Machelle Slatton, APRN
• Sleepeasy Therapeutics, Inc.
• Sleepwell Counseling LLC
• Lacie Sleezer, OTD
• Brittany Rose Slettedahl

• Cardiovascular Disease Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Cardiovascular Disease Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.