Individual provider Active NPI

Stephen C Silver, MD

  • Colon & Rectal Surgery Physician
  • Havertown, PA
National Provider Identifier
1740325513
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
MD013482E Issued in PA
Practice address
1010 West Chester Pike
Suite 201
Havertown, PA 19083-3442
Phone
(610) 446-7882
Fax
(610) 446-3316
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X MD013482E PA Primary
Colon & Rectal Surgery Physician 208C00000X C10006873 DE

Addresses

Primary practice location

1010 West Chester Pike
Suite 201
Havertown, PA 19083-3442

Mailing address

1010 West Chester Pike
Suite 201
Havertown, PA 19083-3442
Phone (610) 446-7882

Other identifiers 3

IdentifierTypeStateIssuer
01669020MedicaidPA
025579OtherPA BLUE SHIELD
0031096000OtherKEYSTONE HEALTH PLAN

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 Medicine

State licenses

LicenseStateTypeSpecialty
C10006873DEMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tristate Colon and Rectal Associates PC Colon & Rectal Surgery CurrentSince Feb 1, 2013 Accepting new patients

Locations

1010 W Chester Pike
Ste 201
Havertown, PA 19083
Phone (610) 446-7882

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8510/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740325513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WEST CHESTER PIKE",
            "address_2": "SUITE 201",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833442",
            "telephone_number": "610-446-7882",
            "fax_number": "610-446-3316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WEST CHESTER PIKE",
            "address_2": "SUITE 201",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833442",
            "telephone_number": "610-446-7882",
            "fax_number": "610-446-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVER",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "PA",
            "license": "MD013482E",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "DE",
            "license": "C10006873",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01669020",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD",
            "identifier": "025579",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN",
            "identifier": "0031096000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.