Basic Information
| Provider Information | |||||||||
| NPI: | 1598799611 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JAMES H SILVERBLATT MD INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8224 MENTOR AVE | ||||||||
| Address2: | SUITE 146 | ||||||||
| City: | MENTOR | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440605768 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4402908122 | ||||||||
| FaxNumber: | 4402343313 | ||||||||
| Practice Location | |||||||||
| Address1: | 8224 MENTOR AVE | ||||||||
| Address2: | SUITE 146 | ||||||||
| City: | MENTOR | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440605768 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4402908122 | ||||||||
| FaxNumber: | 4402343313 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2006 | ||||||||
| LastUpdateDate: | 12/18/2014 | ||||||||
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| AuthorizedOfficialLastName: | SILVERBLATT | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | H | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 4402908122 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.