Provider Demographics
NPI:1487657342
Name:SILONE, JAMES EDWARD JR (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWARD
Last Name:SILONE
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 WEST MAIN ST., SUITE 100
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-3681
Mailing Address - Country:US
Mailing Address - Phone:740-522-8555
Mailing Address - Fax:740-522-3620
Practice Address - Street 1:1717 W MAIN ST STE 100
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-1385
Practice Address - Country:US
Practice Address - Phone:740-522-8555
Practice Address - Fax:740-522-3620
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34006821S207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH6185091002OtherCIGNA HEALTHCARE
OH000000201507OtherANTHEM HEALTHCARE
OH2057405OtherAETNA HEALTHCARE
OH180034804OtherRR MEDICARE
OH0801078OtherUNITED HEALTHCARE
OH2060997Medicaid
OH2057405OtherAETNA HEALTHCARE
OH6185091002OtherCIGNA HEALTHCARE