Provider Demographics
NPI:1174815534
Name:ROME MEDICAL PRACTICE PC
Entity Type:Organization
Organization Name:ROME MEDICAL PRACTICE PC
Other - Org Name:ROME ORTHOPEDICS AND SPORTS MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-338-9200
Mailing Address - Street 1:107 E CHESTNUT ST
Mailing Address - Street 2:SUITE106
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-2834
Mailing Address - Country:US
Mailing Address - Phone:315-338-9200
Mailing Address - Fax:315-338-9202
Practice Address - Street 1:107 E CHESTNUT ST
Practice Address - Street 2:SUITE106
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-2834
Practice Address - Country:US
Practice Address - Phone:315-338-9200
Practice Address - Fax:315-338-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Multi-Specialty
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Multi-Specialty