Provider Demographics
NPI:1740381284
Name:SLOMSKY, JOHN M (DPM)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:M
Last Name:SLOMSKY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 HILL RD N
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-7814
Mailing Address - Country:US
Mailing Address - Phone:614-866-8272
Mailing Address - Fax:614-866-8221
Practice Address - Street 1:1310 HILL RD N
Practice Address - Street 2:SUITE 102
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-7814
Practice Address - Country:US
Practice Address - Phone:614-866-8272
Practice Address - Fax:614-866-8221
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36002491213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4649800001OtherADMINASTAR
OH0757748Medicaid
OH311795350031OtherCARESOURCE
OHP00379797OtherRAILROAD MEDICARE
OH000000491087OtherANTHEM
OH4649800001OtherADMINASTAR
OH311795350031OtherCARESOURCE
OHP00379797OtherRAILROAD MEDICARE
OH0757748Medicaid
OHSL0628716Medicare PIN