Individual provider Active NPI

Thomas Silberberger, M.S., A.T.C.

  • Sports Medicine (Emergency Medicine) Physician
  • Arlington, WA
National Provider Identifier
1124564844
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
A1 60589652 Issued in WA
Practice address
17023 11TH Avenue NE
Arlington, WA 98259
Phone
(360) 625-4507
NPI assigned
Jan 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) Physician 207PS0010X A1 60589652 WA Primary

Addresses

Primary practice location

17023 11TH Avenue NE
Arlington, WA 98259

Mailing address

417 Dallas St
Mount Vernon, WA 98274-3002
Phone (425) 760-0601

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
A1 60589652WAMDSports Medicine (Emergency Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1124564844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 DALLAS ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982743002",
            "telephone_number": "425-760-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17023 11TH AVENUE NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "98259",
            "telephone_number": "360-625-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILBERBERGER",
        "first_name": "THOMAS",
        "credential": "M.S., A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "WA",
            "license": "A1 60589652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.