Active NPI
Allen Silbergleit MD PC
- Vascular Surgery Physician
- Pontiac, MI
National Provider Identifier
1962635169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- ALLEN SILBERGLEIT MD PC
- Practice address
- 44555 Woodward Ave
Suite 404
Pontiac, MI 48341-5031 - Phone
- (248) 335-6433
- NPI assigned
- Sep 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allen Silbergleit, M.D.
- Title
- Owner
- Phone
- (248) 335-6433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
44555 Woodward Ave
Suite 404
Pontiac, MI 48341-5031
Mailing address
44555 Woodward Ave
Suite 404
Pontiac, MI 48341-5031
Phone (248) 335-6433
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962635169 | Other | MI | NPI GROUP |
| 1992871255 | Other | MI | NPI |
| 2025448 | Medicaid | MI | |
| 3306380811 | Other | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273536000000",
"number": "1962635169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44555 WOODWARD AVE",
"address_2": "SUITE 404",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483415031",
"telephone_number": "248-335-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44555 WOODWARD AVE",
"address_2": "SUITE 404",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483415031",
"telephone_number": "248-335-6433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEN SILBERGLEIT MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-03",
"last_updated": "2010-05-11",
"status": "A",
"authorized_official_last_name": "SILBERGLEIT",
"authorized_official_first_name": "ALLEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-335-6433",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP",
"identifier": "1962635169",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1992871255",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2025448",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3306380811",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.