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NPI Code Detail

MEDICARE: MR. MICHAEL SILKA CRNA

MEDICARE: MR. MICHAEL SILKA CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRN320687OH
2367500000XCertified Registered Nurse AnesthetistNA08429OH

General Provider Information

NPI Number : 1588657183
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL SILKA CRNA
Provider Business Mailing Address
First Line : PO BOX 1547
Second Line :
City : MANSFIELD
State : OH
Zip : 44901-1547
Country : US
Telephone Number : 567-274-0014
Fax Number :
Provider Business Practice Location Address
First Line : 3300 WELTY RD
Second Line :
City : LUCAS
State : OH
Zip : 44843-9729
Country : US
Telephone Number : 419-892-5798
Fax Number : 419-892-2694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2005
Last Update Date : 01/03/2011

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