John G Slattery MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

RI 8483 Issued in RI

Legal business name

JOHN G SLATTERY MD

Practice address

925 Main Street
East Greenwich, RI 02818-3188

Phone

(401) 884-5333

Fax

(401) 884-5664

NPI assigned

Jun 14, 2010

Last updated

Jun 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John G Slattery, MDNPI 1033109236

Title

Owner

Phone

(401) 884-5333

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Gormley Slattery, MD

  • Family Medicine Physician
  • East Greenwich, RI
  • NPI 1033109236
  NPD (past) Authorized official

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1861713885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 MAIN ST",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183188",
            "telephone_number": "401-884-5333",
            "fax_number": "401-884-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 MAIN STREET",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028183188",
            "telephone_number": "401-884-5333",
            "fax_number": "401-884-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN G SLATTERY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "SLATTERY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-884-5333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "RI",
            "license": "RI 8483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehran Javid, DMD
• Nathaniel Josef Jellinek, MD
• Joanne C Lewis DDS LLC (West Bay Dental Group)
• Joanne C Lewis Pediatric Dentistry LLC (Chariho Children's Dentistry)
• John E Anzivino
• John J. Cribb, MD, Inc.
• John S. Kacewicz, D.M.D.
• Elizabeth J. Johnson, MS, MFT
• Ronald Jolin, LICSW
• Ronald P Jordan, R.PH.

• Primary Care Clinic/Center in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Primary Care Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.