Individual provider Active NPI

James W Sillaman III, D.O.

  • Family Medicine Physician
  • Latrobe, PA
National Provider Identifier
1396744405
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS0003007L Issued in PA
Practice address
555 Route 217
Suite 5
Latrobe, PA 15650-3484
Phone
(724) 694-0272
Fax
(724) 694-0383
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS0003007L PA Primary

Addresses

Primary practice location

555 Route 217
Suite 5
Latrobe, PA 15650-3484

Mailing address

555 Route 217
Suite 5
Latrobe, PA 15650-3484
Phone (724) 694-0272

Other identifiers 1

IdentifierTypeStateIssuer
0006624540004MedicaidPA

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
OS0003007LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Chestnut Ridge LLC Past Accepting new patients
Upmc Community Medicine Inc Family Medicine Past Accepting new patients
Chestnut Ridge Primary Care, LTD Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jsillaman@direct.excelahealth.org

Organizations & group practices 3

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1396744405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 ROUTE 217",
            "address_2": "SUITE 5",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156503484",
            "telephone_number": "724-694-0272",
            "fax_number": "724-694-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ROUTE 217",
            "address_2": "SUITE 5",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156503484",
            "telephone_number": "724-694-0272",
            "fax_number": "724-694-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLAMAN",
        "first_name": "JAMES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS0003007L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006624540004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.