Provider Demographics
NPI:1861447203
Name:SLINGSBY, JOHN GEOFFREY (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:GEOFFREY
Last Name:SLINGSBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 MINNESOTA ST
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-6200
Mailing Address - Country:US
Mailing Address - Phone:605-719-9499
Mailing Address - Fax:605-719-9509
Practice Address - Street 1:240 MINNESOTA ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-6200
Practice Address - Country:US
Practice Address - Phone:605-719-9499
Practice Address - Fax:605-719-9509
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1230207W00000X
NE16310207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6300244Medicaid
WY103237200Medicaid
NE46046232500Medicaid
SDA48720Medicare UPIN
SD6300244Medicaid
NE46046232500Medicaid
NE274443Medicare ID - Type Unspecified