Individual provider Active NPI

Raymond Fellow Silbar, MD

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1063475549
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME53724 Issued in FL
Practice address
10240 San Jose Blvd
Jacksonville, FL 32257-6203
Phone
(904) 262-9204
Fax
(904) 268-9534
NPI assigned
Apr 7, 2006
Last updated
Feb 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME53724 FL Primary

Addresses

Primary practice location

10240 San Jose Blvd
Jacksonville, FL 32257-6203

Mailing address

10240 San Jose Blvd
Jacksonville, FL 32257-6203
Phone (904) 262-9204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20071107000043 FL Practitioner - Family Practice 5799872891 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Formoso Pain Specialists, PA CurrentSince Jul 11, 2023 Accepting new patients
Formoso Pain Specialists, PA CurrentSince Jul 11, 2023 Accepting new patients
Baptist Primary Care Inc Family Medicine Past Accepting new patients

Locations

11555 Central Pkwy
Ste 304
Jacksonville, FL 32224
Phone (904) 201-3111

Interoperability endpoints

  • Direct secure messaging: raymond.silbar.1@20902.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1063475549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576203",
            "telephone_number": "904-262-9204",
            "fax_number": "904-268-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576203",
            "telephone_number": "904-262-9204",
            "fax_number": "904-268-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILBAR",
        "first_name": "RAYMOND",
        "middle_name": "FELLOW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME53724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.