Provider Demographics
NPI:1528003639
Name:SILVERMAN ORTHOPAEDICS, P.C.
Entity Type:Organization
Organization Name:SILVERMAN ORTHOPAEDICS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-915-8325
Mailing Address - Street 1:6600 FRANCE AVE S
Mailing Address - Street 2:SUITE 605
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-1805
Mailing Address - Country:US
Mailing Address - Phone:952-920-4333
Mailing Address - Fax:952-920-2561
Practice Address - Street 1:6600 FRANCE AVE S
Practice Address - Street 2:SUITE 605
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-1805
Practice Address - Country:US
Practice Address - Phone:952-920-4333
Practice Address - Fax:952-920-2561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN46411174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN9746323000Medicaid
5471860001Medicare NSC
H35859Medicare UPIN