Provider Demographics
NPI:1891005617
Name:ORLANDO DSILVA MD INC
Entity Type:Organization
Organization Name:ORLANDO DSILVA MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:D'SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-964-7121
Mailing Address - Street 1:1111 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-2929
Mailing Address - Country:US
Mailing Address - Phone:440-964-7121
Mailing Address - Fax:440-964-2251
Practice Address - Street 1:1111 LAKE AVENUE
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-2929
Practice Address - Country:US
Practice Address - Phone:440-964-7121
Practice Address - Fax:440-964-2251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35048355207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3100150OtherUNITED HEALTHCARE
OH0507400Medicaid
000000132769OtherANTHEM BC/BS
OH373649OtherWELLCARE
OH639590OtherAETNA US HEALTHCARE
OH09469486001OtherMEDICAL MUTUAL OF OHIO
OH373649OtherWELLCARE
OH0520872Medicare PIN