Individual provider Active NPI

Silvia Elizabeth Pastor-Iturricha, MD

  • Internal Medicine Physician
  • Fairfield, OH
National Provider Identifier
1023057486
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35060005P Issued in OH
Practice address
5966 Boymel Dr
Unit 1
Fairfield, OH 45014
Phone
(513) 939-0333
Fax
(513) 939-0444
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35060005P OH Primary

Addresses

Primary practice location

5966 Boymel Dr
Unit 1
Fairfield, OH 45014

Mailing address

5966 Boymel Dr Unit 1
Fairfield, OH 45014-5526
Phone (513) 939-0333

Other identifiers 1

IdentifierTypeStateIssuer
0852368MedicaidOH

Other names 1

  • Silvia Elizabeth Pastor Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35060005POHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1023057486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5966 BOYMEL DR UNIT 1",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145526",
            "telephone_number": "513-939-0333",
            "fax_number": "513-939-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5966 BOYMEL DR",
            "address_2": "UNIT 1",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "45014",
            "telephone_number": "513-939-0333",
            "fax_number": "513-939-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTOR-ITURRICHA",
        "first_name": "SILVIA",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35060005P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0852368",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SILVIA",
            "last_name": "PASTOR",
            "middle_name": "ELIZABETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.