Silver Peak Medical LLC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

5633279 Issued in UT

Legal business name

SILVER PEAK MEDICAL LLC

Practice address

1817 S Main St Ste 8
Salt Lake City, UT 84115-7060

Phone

(435) 571-0245

Fax

(435) 602-4405

NPI assigned

Jan 25, 2016

Organization subpart

No

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

Authorized official

Name

Amanda Curtis

Title

Billing

Phone

(480) 208-6539

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1265899009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 SAGEWOOD DR STE 123",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840987502",
            "telephone_number": "435-571-0245",
            "fax_number": "435-602-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 S MAIN ST STE 8",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841157060",
            "telephone_number": "435-571-0245",
            "fax_number": "435-602-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER PEAK MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "480-208-6539"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "5633279",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "5633279",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "UT",
            "license": "5633279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nellie Mariana Silva
• Sara Harrington Silva
• Skyleigh Silva
• Macy Silvano, CMHC-I
• Silver Lake Healthcare, Inc.
• Anya Korrin Silver
• Ellen Silver, LCSW
• Robert M. Silver, MD
• John A Silverman, MD
• Kelly R Silvers, LSAC

• Addiction Medicine (Internal Medicine) Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Addiction Medicine (Internal Medicine) Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.

Verify at the official NPI Registry.