Physician Compare National (NPI:1811918618)

HEALTHCARE PROVIDER: TIMOTHY ROBERT SILVIS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1811918618
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931382926
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110329000715
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SILVIS
	Individual professional last name
Provider First Name	TIMOTHY
	Individual professional first name
Provider Middle Name	ROBERT
	Individual professional middle name
Provider Name Suffix Text	I
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1981
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	24 BATTLE ST
	Group Practice or individual's line 1 address
City	SOMERS
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	060711629
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8607634024
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070008
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JOHNSON MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y