Provider Demographics
NPI:1922172956
Name:SILNEY, CAROLLE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLLE
Middle Name:
Last Name:SILNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W NIFONG BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-4469
Mailing Address - Country:US
Mailing Address - Phone:573-815-6640
Mailing Address - Fax:573-815-6644
Practice Address - Street 1:900 W NIFONG BLVD STE 101
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-4469
Practice Address - Country:US
Practice Address - Phone:573-815-6640
Practice Address - Fax:573-815-6644
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000161132207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
133223OtherBLUE CROSS BLUE SHIELD
7733246OtherAETNA
MO209290402Medicaid
81434OtherGROUP HEALTH PLANS
0104225OtherUNITED HEALTH CARE
454856OtherHEALTHLINK
454856OtherHEALTHLINK
MO014011255Medicare ID - Type Unspecified