Individual provider Active NPI

Richard Stanley Silver, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Newbury, OH
National Provider Identifier
1487646543
Registry record updated Jan 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
34-00-2391-S Issued in OH
Practice address
11890 Kinsman Rd
Newbury, OH 44065-9690
Phone
(440) 832-7009
Fax
(440) 273-3143
NPI assigned
Aug 16, 2005
Last updated
Jan 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 34-00-2391-S OH Primary

Addresses

Primary practice location

11890 Kinsman Rd
Newbury, OH 44065-9690

Mailing address

11890 Kinsman Rd
PO Box 382
Newbury, OH 44065-0382
Phone (440) 832-7009

Other identifiers 2

IdentifierTypeStateIssuer
0282402MedicaidOH
10830886OtherOHCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090424000377 OH Practitioner - General PracticePractitioner - Preventive MedicinePractitioner - Addiction MedicinePractitioner - Family Practice 1658429972 Practice locations: Newbury, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232150400000",
    "number": "1487646543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11890 KINSMAN RD",
            "address_2": "PO BOX 382",
            "city": "NEWBURY",
            "state": "OH",
            "postal_code": "440650382",
            "telephone_number": "440-832-7009",
            "fax_number": "440-273-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 KINSMAN RD",
            "city": "NEWBURY",
            "state": "OH",
            "postal_code": "440659690",
            "telephone_number": "440-832-7009",
            "fax_number": "440-273-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVER",
        "first_name": "RICHARD",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2009-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "34-00-2391-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0282402",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10830886",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury, OH

Sources for this page

Verify at the official NPI Registry.