NPIMap

Individual provider Active NPI

Dean Silverberg, DO

  • Emergency Medicine Physician
  • Lake City, FL
National Provider Identifier
1821028408
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS5504 Issued in FL
Practice address
North Florida/South Georgia Veterans Health System
619 South Marion Avenue
Lake City, FL 32025
Phone
(386) 755-3016
Fax
(386) 758-6008
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS5504 FL Primary

Addresses

Primary practice location

North Florida/South Georgia Veterans Health System
619 South Marion Avenue
Lake City, FL 32025

Mailing address

North Florida/South Georgia Veterans Health System
619 South Marion Avenue
Lake City, FL 32025
Phone (386) 755-3016

Other identifiers 2

IdentifierTypeStateIssuer
000784803GMedicaidGA
005276OtherGABLUE CROSS

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 Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5504FLMDOptician
OS5504FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palestine Principal Healthcare Limited Partnership Emergency Medicine Past Accepting new patients
St. Joseph Emergency Medical Physicians PA Emergency Medicine Past Accepting new patients
Emergency Health Services Associates, P.a. Emergency Medicine Past Accepting new patients
Emergency Medicine of Florida, Inc. Past Accepting new patients
Renaissance Emergency Physicians,PA Past Accepting new patients
Jesup Emergency Services, LLC Emergency Medicine Past Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine Past Accepting new patients
Sterling Emergency Services of the Southeast Inc Emergency Medicine Past Accepting new patients
Texas Em-I Medical Services, PA Emergency Medicine Past Accepting new patients
Gulf Coast Emergency Physicians PA Emergency Medicine Past Accepting new patients

Organizations & group practices 10

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1821028408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTH FLORIDA/SOUTH GEORGIA VETERANS HEALTH SYSTEM",
            "address_2": "619 SOUTH MARION AVENUE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32025",
            "telephone_number": "386-755-3016",
            "fax_number": "386-758-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTH FLORIDA/SOUTH GEORGIA VETERANS HEALTH SYSTEM",
            "address_2": "619 SOUTH MARION AVENUE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "32025",
            "telephone_number": "386-755-3016",
            "fax_number": "386-758-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERBERG",
        "first_name": "DEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS5504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000784803G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "005276",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.