Provider Demographics
NPI:1487973830
Name:SILVER, JERRY (MD)
Entity type:Individual
Prefix:DR
First Name:JERRY
Middle Name:
Last Name:SILVER
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:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:OWENSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45160-0066
Mailing Address - Country:US
Mailing Address - Phone:513-240-9367
Mailing Address - Fax:
Practice Address - Street 1:1801 ALEXANDRIA PIKE
Practice Address - Street 2:
Practice Address - City:HIGHLAND HEIGHTS
Practice Address - State:KY
Practice Address - Zip Code:41076-1159
Practice Address - Country:US
Practice Address - Phone:513-240-9367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-25
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY373022083B0002X
OH35050086208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice