Silversage Physician Services of Florida, PLLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

SILVERSAGE PHYSICIAN SERVICES OF FLORIDA, PLLC

Practice address

175 Villa Nueva Ave NE
Palm Bay, FL 32907-2595

Phone

(321) 952-1818

NPI assigned

Aug 15, 2016

Organization subpart

No

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

Authorized official

Name

Kenneth L Scott, D.O.

Title

President

Phone

(423) 815-1605

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan M. Evans, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Charlottesville, VA
  • NPI 1184793705
  NPD (past)

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1538614979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22784",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374222784",
            "telephone_number": "423-815-1600",
            "fax_number": "423-763-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 VILLA NUEVA AVE NE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072595",
            "telephone_number": "321-952-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERSAGE PHYSICIAN SERVICES OF FLORIDA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-815-1605",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Welton, LCSW
• Lequitta Shorter
• Susan Manuela Shumate, COTA/L
• Makayla Silva
• Noell Georgia-Amore Silvera
• Clifton Simeus
• Ivette Simpson, APRN-FNP
• Charmaine Singh
• Jessica Singh
• Ravinder H. Singh, MD

• Geriatric Medicine (Family Medicine) Physician in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.