1821056573 NPI number — DR. MICHAEL S SILBER MD

Table of content: DR. MICHAEL S SILBER MD (NPI 1821056573)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821056573 NPI number — DR. MICHAEL S SILBER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SILBER
Provider First Name:
MICHAEL
Provider Middle Name:
S
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821056573
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/21/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
111 N MAPLEMERE RD STE 120
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILLIAMSVILLE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14221-3178
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-836-4646
Provider Business Mailing Address Fax Number:
716-836-4696

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 N MAPLEMERE RD STE 120
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILLIAMSVILLE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14221-3178
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-836-4646
Provider Business Practice Location Address Fax Number:
716-836-4696
Provider Enumeration Date:
05/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  210953 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000916799010 . This is a "BLUE SHIELD WNY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0142101 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00005724 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: P020210953 . This is a "ROCHESTER BLUE SHIELD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 040426003068 . This is a "FIDELIS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4105395 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000916799013 . This is a "BLUE SHIELD WNY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2109536B . This is a "WORKERS COMPENSATION" identifier . This identifiers is of the category "OTHER".
  • Identifier: 09941643 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: P010210953 . This is a "BLUE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 101773FF . This is a "PREFERRED CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1693154 . This is a "INDEPENDENT HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00040939302 . This is a "UNIVERA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00040939304 . This is a "UNIVERA" identifier . This identifiers is of the category "OTHER".




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