Provider Demographics
NPI:1245231489
Name:SILVERMAN, JAN FRANKLIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAN
Middle Name:FRANKLIN
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MANNING DR DEPT OF
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-6117
Mailing Address - Country:US
Mailing Address - Phone:984-974-1476
Mailing Address - Fax:984-974-9177
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:984-974-1476
Practice Address - Fax:984-974-9177
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD062365L207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2220831Medicaid
WV1806701000Medicaid
PA0016622800002Medicaid
PA0016622800006Medicaid
PA002088NHCMedicare PIN
PA0016622800006Medicaid
PACG2169Medicare PIN
PA220027528Medicare PIN