MEDICARE: DR. JERRY SILVER MD

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
1	2083B0002X	Obesity Medicine (Preventive Medicine) Physician	37302	KY

General Provider Information

NPI Number	:	1487973830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JERRY SILVER MD

Provider Business Mailing Address
First Line	:	PO BOX 66
Second Line	:
City	:	OWENSVILLE
State	:	OH
Zip	:	45160-0066
Country	:	US
Telephone Number	:	513-240-9367
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 ALEXANDRIA PIKE
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	KY
Zip	:	41076-1159
Country	:	US
Telephone Number	:	513-240-9367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2010
Last Update Date	:	11/15/2023

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