Kimball W Silverton, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5101009273 Issued in MI

Practice address

8245 Holly Rd
Grand Blanc, MI 48439-2443

Phone

(810) 606-7500

Fax

(810) 606-9600

NPI assigned

Aug 1, 2006

Last updated

Sep 20, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ksilverton1151377@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pinnacle Dermatology, SC

  • Dermatology Physician
  • Joliet, IL
  • NPI 1861930984

  MI

  Medicare reassignment
• Silverton Skin Institute PLLC

  • Dermatology Physician
  • Grand Blanc, MI
  • NPI 1417090317
  Authorized official Same address or phone
• Audrey Bruell, M.D. P.C.

  • Dermatology Physician
  • Livonia, MI
  • NPI 1306965983
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1013924570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E COURT ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485021611",
            "telephone_number": "810-424-2007",
            "fax_number": "810-743-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392443",
            "telephone_number": "810-606-7500",
            "fax_number": "810-606-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERTON",
        "first_name": "KIMBALL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101009273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM INDIVIDUAL PIN",
            "identifier": "0752501485",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4069719",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Shute, LPN
• Amira Hassan Sidahmed-Bakri III
• Harmony Ann Sierens, M.D.
• Catherine Marie Sikora, PT, CLT-LANA
• Silverton Skin Institute PLLC
• Laura Dawn Silvestri, D.O.
• Joseph B Simmert, DO
• Szabolcs Simo
• Daniel Simonds Jr.
• Jerome Sims

• Dermatology Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.