Provider Demographics
NPI:1043621980
Name:SILVEY, CHAD (CRNA)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:
Last Name:SILVEY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3719 STADIUM BLVD
Mailing Address - Street 2:F12
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72404-7913
Mailing Address - Country:US
Mailing Address - Phone:480-626-3835
Mailing Address - Fax:
Practice Address - Street 1:2710 S RIFE MEDICAL LN
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1452
Practice Address - Country:US
Practice Address - Phone:479-338-8000
Practice Address - Fax:479-338-3056
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR102240367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR207684001Medicaid
AR5AQ95OtherBCBS ARKANSAS
ARP01507941OtherRAILROAD
OK200539280AMedicaid