Active NPI
James W Sillaman III, D.O.
- Family Medicine Physician
- Latrobe, PA
National Provider Identifier
1396744405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS0003007L
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006624540004 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS0003007L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Family Medicine Physician
- Latrobe, PA
- NPI 1033177423
-
- Primary Care Clinic/Center
- Latrobe, PA
- NPI 1396923009
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1588622294
Family Medicine
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.