Provider Demographics
NPI:1679696744
Name:SILL, JOSHUA MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:MICHAEL
Last Name:SILL
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:PO BOX 936
Mailing Address - Street 2:EVMS MEDICAL GROUP
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-446-5758
Mailing Address - Fax:757-446-7452
Practice Address - Street 1:855 W BRAMBLETON AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1005
Practice Address - Country:US
Practice Address - Phone:757-446-5758
Practice Address - Fax:757-446-7452
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101253309207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10112605OtherOPTIMA HEALTH
VAPAROtherUSA MANAGED CARE
VA1679696744OtherVIRGINIA PREMIER HEALTH PLAN
VA1679696744OtherUNITED HEALTHCARE
VA490313OtherANTHEM BC/BS
VAPAROtherAETNA
VAPAROtherCORVEL
VA1679696744OtherCOVENTRY NETWORK
VAVV9965AMedicare PIN
VA1679696744Medicaid
VAP01206767Medicare PIN
VAPAROtherMULTIPLAN
VA-029OtherTRICARE/CHAMPUS
VAPAROtherCIGNA
NC1679696744Medicaid
VAPAROtherVIRGINIA HEALTH NETWORK