Provider Demographics
NPI:1821093774
Name:SLAUGHENHAUPT, JAMES FRANK II (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FRANK
Last Name:SLAUGHENHAUPT
Suffix:II
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 REMICK BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-9168
Mailing Address - Country:US
Mailing Address - Phone:937-531-0124
Mailing Address - Fax:937-531-0129
Practice Address - Street 1:10 REMICK BLVD
Practice Address - Street 2:
Practice Address - City:SPRINGBORO
Practice Address - State:OH
Practice Address - Zip Code:45066-9168
Practice Address - Country:US
Practice Address - Phone:937-531-0124
Practice Address - Fax:937-531-0129
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.006693207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2342085Medicaid
OH2372085Medicaid
OHP00461890OtherMEDICARE RR
OH0000000518586OtherANTHEM
OH4090374Medicare PIN
OH4090373Medicare PIN
OH2342085Medicaid
OHSL4090372Medicare PIN