Duane Sibilly

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

DUANE SIBILLY

Practice address

7744 Mandan Rd
Greenbelt, MD 20770-2166

Phone

(301) 474-0916

NPI assigned

Aug 11, 2014

Organization subpart

Yes

Parent organization

DUANE SIBILLYAs reported in NPPES

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

Authorized official

Name

Duane Sibilly, CSANPI 1972842003

Title

Owner/Operator

Phone

(301) 474-0916

Specialties & licenses 1

Addresses

Part of

Duane Sibilly

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Duane A Sibilly, CSA

  • Surgical Physician Assistant
  • Greenbelt, MD
  • NPI 1972842003
  NPD (past) Authorized official

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1043629447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7744 MANDAN RD",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702166",
            "telephone_number": "301-474-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7744 MANDAN RD",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702166",
            "telephone_number": "301-474-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUANE SIBILLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DUANE SIBILLY",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "SIBILLY",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "301-474-0916",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Surgical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.