Individual provider Active NPI

Suzanne E Silva, P.A.

  • Physician Assistant
  • Ashland City, TN
National Provider Identifier
1417184482
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1735 Issued in TN
Practice address
342 Frey St
Ashland City, TN 37015-1734
Phone
(615) 792-1199
Fax
(615) 792-9331
NPI assigned
Jun 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1735 TN Primary

Addresses

Primary practice location

342 Frey St
Ashland City, TN 37015-1734

Mailing address

1900 Hollister Dr
Ste 250
Libertyville, IL 60048-5249
Phone (847) 573-9663

Other identifiers 1

IdentifierTypeStateIssuer
1525560MedicaidTN

Other names 1

  • Suzanne E. Foland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center of Ashland City PLLC Physician Assistant Current Accepting new patients
Urgent Care Enterprise LLC PastSince Jul 1, 2017 Accepting new patients

Locations

342 Frey St
Ashland City, TN 37015
Phone (615) 792-1199

Organizations & group practices 2

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1417184482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HOLLISTER DR",
            "address_2": "STE 250",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485249",
            "telephone_number": "847-573-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 FREY ST",
            "city": "ASHLAND CITY",
            "state": "TN",
            "postal_code": "370151734",
            "telephone_number": "615-792-1199",
            "fax_number": "615-792-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "SUZANNE",
        "middle_name": "E",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA1735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525560",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "FOLAND",
            "middle_name": "E.",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ashland City, TN

Sources for this page

Verify at the official NPI Registry.