Active NPI
Debra S Silkes, MD
- Surgery Physician
- Wellsboro, PA
National Provider Identifier
1184687576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD063411L
- Practice address
- 1 Main St
Wellsboro, PA 16901-1601 - Phone
- (570) 723-0716
- Fax
- (570) 723-0638
- NPI assigned
- Apr 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD063411L | PA | Primary |
| Surgery Physician | 208600000X | 175014 | NY |
Addresses
Primary practice location
1 Main St
Wellsboro, PA 16901-1601
Mailing address
1 Main St
Wellsboro, PA 16901-1601
Phone (570) 723-0716
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103668FL | Other | NY | PREFERRED CARE |
| 1709681 | Other | NY | INDEPEND HEALTH |
| 9120335 | Other | NY | PHCS |
| 100899 | Other | NY | GHI LAKE PLAINS |
| 005249655 | Other | NY | BLUE CROSS WNY |
| P010175014 | Other | NY | BLUE CROSS ROCHESTER |
| 00010313703 | Other | NY | UNIVERA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 175014 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1184687576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MAIN ST",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "169011601",
"telephone_number": "570-723-0716",
"fax_number": "570-723-0638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MAIN ST",
"city": "WELLSBORO",
"state": "PA",
"postal_code": "169011601",
"telephone_number": "570-723-0716",
"fax_number": "570-723-0638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILKES",
"first_name": "DEBRA",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-08",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD063411L",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "175014",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "103668FL",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPEND HEALTH",
"identifier": "1709681",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9120335",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI LAKE PLAINS",
"identifier": "100899",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS WNY",
"identifier": "005249655",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS ROCHESTER",
"identifier": "P010175014",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00010313703",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wellsboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.