Organization Active NPI

Silvercreek Medical Associates, P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Bullhead City, AZ
National Provider Identifier
1760514947
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
SILVERCREEK MEDICAL ASSOCIATES, P.C.
Practice address
2767 Silver Creek Rd
Ste a
Bullhead City, AZ 86442-7924
Phone
(928) 704-6741
Fax
(928) 704-6779
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Paul T Sutera, M.D.
Title
Ceo
Phone
(928) 704-6741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

2767 Silver Creek Rd
Ste a
Bullhead City, AZ 86442-7924

Mailing address

2767 Silver Creek Rd
Ste a
Bullhead City, AZ 86442-7924
Phone (928) 704-6741

National Provider Directory

National Provider Directory

Locations

2767 Silver Creek Rd
Ste A
Bullhead City, AZ 86442
Phone (928) 542-9103

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1760514947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2767 SILVER CREEK RD",
            "address_2": "STE A",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427924",
            "telephone_number": "928-704-6741",
            "fax_number": "928-704-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 SILVER CREEK RD",
            "address_2": "STE A",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427924",
            "telephone_number": "928-704-6741",
            "fax_number": "928-704-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVERCREEK MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "SUTERA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-704-6741",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.