MEDICARE: MR. JOHN STEPHEN SILVANI RN CARN CAS LCDCII

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	163WA0400X	Addiction (Substance Use Disorder) Registered Nurse	RN222372	OH
2	163WA2000X	Administrator Registered Nurse	RN222372	OH
3	101Y00000X	Counselor	LICDCII.161554	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841649415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHN STEPHEN SILVANI RN CARN CAS LCDCII

Provider Business Mailing Address
First Line	:	2733 SATURN DR
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-5016
Country	:	US
Telephone Number	:	513-479-3952
Fax Number	:

Provider Business Practice Location Address
First Line	:	4302 ROOSEVELT BLVD
Second Line	:
City	:	MIDDLETOWN
State	:	OH
Zip	:	45044-6625
Country	:	US
Telephone Number	:	513-479-3952
Fax Number	:

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

Provider Enumeration Date	:	06/06/2016
Last Update Date	:	03/26/2026

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