Provider Demographics
NPI:1003807546
Name:COLEMAN, SILVIA E (MD)
Entity Type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:E
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SILVIA
Other - Middle Name:E
Other - Last Name:MEDRANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:125 ENCLAVE DR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16105-3207
Mailing Address - Country:US
Mailing Address - Phone:724-658-6656
Mailing Address - Fax:724-658-6542
Practice Address - Street 1:125 ENCLAVE DR
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16105-3207
Practice Address - Country:US
Practice Address - Phone:724-658-6656
Practice Address - Fax:724-658-6542
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-03
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-052537-L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA205215OtherUPMC FOR YOU
PA417845OtherBLUE SHIELD
PA72788OtherTHREE RIVERS/MED PLUS
PA205215OtherUPMC
PA5800481/001OtherCIGNA
PA0014795170004Medicaid
PA110219075OtherRAILROAD MEDICARE
PAP001398OtherGATEWAY
PA134143OtherHEALTH AMERICA/HEALTH AS
PA1796250OtherUNITED HEALTH CARE
PA4522962OtherAETNA US HEALTHCARE
PAP001398OtherGATEWAY
PA4522962OtherAETNA US HEALTHCARE