Active NPI
Amy Jo Harden, MD
- Pediatrics Physician
- Marion, VA
National Provider Identifier
1154371474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101237020
- Practice address
- 1204 N Main St
Marion, VA 24354-4312 - Phone
- (276) 783-2511
- Fax
- (276) 783-2532
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101237020 | VA | Primary |
Addresses
Primary practice location
1204 N Main St
Marion, VA 24354-4312
Mailing address
1204 N Main St
Marion, VA 24354-4312
Phone (276) 783-2511
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146918 | Other | VA | ANTHEM BC PROVIDER NUMBER |
| 010088577 | Medicaid | VA | |
| 321590 | Other | VA | SOUTHERN HEALTH PROVIDER |
| TN0102 | Other | VA | JOHN DEERE PROVIDER NO. |
Other names 1
- Amy Jo Silliman
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101237020 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountainview Pediatrics, P.C. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1154371474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 N MAIN ST",
"city": "MARION",
"state": "VA",
"postal_code": "243544312",
"telephone_number": "276-783-2511",
"fax_number": "276-783-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 N MAIN ST",
"city": "MARION",
"state": "VA",
"postal_code": "243544312",
"telephone_number": "276-783-2511",
"fax_number": "276-783-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDEN",
"first_name": "AMY",
"middle_name": "JO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101237020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC PROVIDER NUMBER",
"identifier": "146918",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010088577",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH PROVIDER",
"identifier": "321590",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE PROVIDER NO.",
"identifier": "TN0102",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "SILLIMAN",
"middle_name": "JO",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Marion, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.