Silver Lake Medical Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SILVER LAKE MEDICAL IMAGING, LLC

Practice address

400 N Main St
Warsaw, NY 14569-1025

Phone

(585) 786-1262

Fax

(585) 786-1251

NPI assigned

May 5, 2006

Last updated

Oct 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roseanne Oliverio, MDNPI 1073516985

Title

Owner

Phone

(585) 786-1262

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roseanne Oliverio, MD

  • Diagnostic Radiology Physician
  • Williamsville, NY
  • NPI 1073516985
  NPD (past) Authorized official

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1376591818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145690150",
            "telephone_number": "716-692-2160",
            "fax_number": "716-692-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MAIN ST",
            "city": "WARSAW",
            "state": "NY",
            "postal_code": "145691025",
            "telephone_number": "585-786-1262",
            "fax_number": "585-786-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LAKE MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "OLIVERIO",
        "authorized_official_first_name": "ROSEANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-786-1262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02368101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Shutt
• Brandie Sickles
• Alan L. Siegel, M.D.
• Jennifer Anne Siepierski, M.S.
• Alexander Sikora, DDS
• Melissa Simon
• Dharam Paul Singla, MD
• Marina Skrombolas, DDS
• Linda J Slocum, BA
• Sabryna Smith-Lyons

• Diagnostic Radiology Physician in Warsaw, NY
• Providers in Warsaw, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.