Provider Demographics
NPI:1720279466
Name:DAVID SILVERBERG MD LTD
Entity Type:Organization
Organization Name:DAVID SILVERBERG MD LTD
Other - Org Name:SILVER STATE ORTHOPEDICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:SILVERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-216-2670
Mailing Address - Street 1:PO BOX 36455
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-6455
Mailing Address - Country:US
Mailing Address - Phone:702-216-2670
Mailing Address - Fax:702-974-1256
Practice Address - Street 1:3196 SOUTH MARYLAND PARKWAY
Practice Address - Street 2:SUITE 112
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2312
Practice Address - Country:US
Practice Address - Phone:702-216-2670
Practice Address - Fax:702-626-4845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-07
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic TraumaGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV104220Medicare PIN