Provider Demographics
NPI:1427121425
Name:EDWARD J. SILVOY, M.D.,P.A.
Entity type:Organization
Organization Name:EDWARD J. SILVOY, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:SILVOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-865-7677
Mailing Address - Street 1:1010 X RAY DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-7488
Mailing Address - Country:US
Mailing Address - Phone:704-865-7677
Mailing Address - Fax:704-865-0756
Practice Address - Street 1:1010 X RAY DR
Practice Address - Street 2:SUITE A
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-7488
Practice Address - Country:US
Practice Address - Phone:704-865-7677
Practice Address - Fax:704-865-0756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22385207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC76271OtherBCBS PROVIDER NUMBER
NC8976271Medicaid
NC76271OtherBCBS PROVIDER NUMBER