Provider Demographics
NPI:1770575458
Name:SILVERMAN, MICHAEL STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:STEVEN
Last Name:SILVERMAN
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 1:24728 LETCHWORTH RD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4147
Mailing Address - Country:US
Mailing Address - Phone:216-591-0443
Mailing Address - Fax:216-749-8240
Practice Address - Street 1:7575 NORTHCLIFF AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:BROOKLYN
Practice Address - State:OH
Practice Address - Zip Code:44144-3267
Practice Address - Country:US
Practice Address - Phone:216-749-8276
Practice Address - Fax:216-749-8240
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-05-6555-S207RN0300X
OH35-056555207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000030389OtherUNICARE
OH000000030389OtherANTHEM
OH393552OtherWELLCARE OF OH
OH0699767Medicaid
OHP56555OtherSUMMACARE
OH341847368029OtherCARESOURCE
OH0612006Medicare PIN
OH000000030389OtherUNICARE
OHP56555OtherSUMMACARE