Provider Demographics
NPI:1043248347
Name:SILVERMAN, JOSEPH SHEPSEL (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SHEPSEL
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4304 LYNDALE RD
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-1539
Mailing Address - Country:US
Mailing Address - Phone:814-943-6609
Mailing Address - Fax:814-943-5219
Practice Address - Street 1:4304 LYNDALE RD
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-1539
Practice Address - Country:US
Practice Address - Phone:814-943-6609
Practice Address - Fax:814-943-5219
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027446L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASI17282OtherHIGHMARK BLUE SHIELD
PAC27268Medicare UPIN