Provider Demographics
NPI:1346396447
Name:DR SILVA AND ASSOCIATES PSC
Entity Type:Organization
Organization Name:DR SILVA AND ASSOCIATES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROGELIO
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-827-5469
Mailing Address - Street 1:1413 N ELM ST STE 205
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-2773
Mailing Address - Country:US
Mailing Address - Phone:270-827-5469
Mailing Address - Fax:270-826-3201
Practice Address - Street 1:1413 N ELM ST STE 205
Practice Address - Street 2:SILVA AND ASSOCIATES, PSC
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-2773
Practice Address - Country:US
Practice Address - Phone:270-827-5469
Practice Address - Fax:270-826-3201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY210732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYCJ8319OtherRAILROAD MEDICARE
KY1205308OtherCHA
KY65936445Medicaid
KYD47523Medicare UPIN
KY7009Medicare PIN