Active NPI
Ryan Slaughter, M.D.
- Diagnostic Radiology Physician
- Boise, ID
National Provider Identifier
1922077635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 22483
- Practice address
- 907 Harrison Blvd
Boise, ID 83702-4052 - Phone
- (319) 248-9494
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 22483 | NE | Primary |
Addresses
Primary practice location
907 Harrison Blvd
Boise, ID 83702-4052
Mailing address
HHC 121St Combat Support Hospital
Box 172
Seoul, KOREA APO 96205
KR
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22483 | NE | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922077635",
"addresses": [
{
"country_code": "KR",
"country_name": "Korea, Republic of",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "HHC 121ST COMBAT SUPPORT HOSPITAL",
"address_2": "BOX 172",
"city": "SEOUL",
"state": "KOREA",
"postal_code": "APO 96205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 HARRISON BLVD",
"city": "BOISE",
"state": "ID",
"postal_code": "837024052",
"telephone_number": "319-248-9494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLAUGHTER",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "22483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.