SIEBERT PODIATRY PC (NPI# 1063535656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063535656 |
| Entity Type | Organization |
| Organization Name | SIEBERT PODIATRY PC |
| Other Organization Name | SIEBERT AND SIPES PODIATRY, PC |
| Practice Address |
102 S Grand Ave W Springfield IL 62704-3806 |
| Practice Telephone | 2175234539 |
| Mailing Telephone | 2175234539 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | KELLY J SIEBERT (SECRETARY) |
| Authorized Official Telephone | 2175234539 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 060.001013 | IL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 60115587 | 01 |
| Other Name | Type Code |
|---|---|
| Siebert and Sipes Podiatry, PC | Former Legal Business Name - Organization |
| Street Address |
102 S GRAND AVE W |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-3806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710968813 | Philip G. Siebert | Podiatrist | 102 S Grand Ave W, Springfield, IL 62704-3806 | 2005-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275856924 | Leonid Schreer | Podiatrist | 433 Briant Park Dr, Springfield, NJ 07081-2173 | 2010-03-09 |
| 1376677799 | Stuart L Kramer | Podiatrist | 7007 Backlick Ct, Springfield, VA 22151-3937 | 2007-03-15 |
| 1437282423 | James H Courniotes II | Podiatrist | 1786 Wilbraham Road, Springfield, MA 01119 | 2007-03-13 |
| 1760556765 | Edward Patrick Smith Jr. | Podiatrist | 148 Park Street, Springfield, VT 05156 | 2006-11-20 |
| 1528130705 | Stanley Spencer Lubeck | Podiatrist | 501 Wesley Rd, Springfield, PA 19064-2012 | 2006-11-14 |
| 1992808216 | Duane Brown | Podiatrist | 405 S Macarthur Blvd, Springfield, IL 62704-1742 | 2006-09-06 |
| 1942310651 | Franklin Vogel Jr. | Podiatrist | 3 N Brookside Road, Springfield, PA 19064 | 2006-08-30 |
| 1679583058 | Barry H Arons | Podiatrist | 6217 Old Keene Mill Ct, Springfield, VA 22152-2324 | 2006-08-09 |
| 1588693568 | Rose M Sundet | Podiatrist | 2733 E Battlefield St # 218, Springfield, MO 65804 | 2006-07-01 |
| 1124005699 | Foot Specialists Associates Inc | Podiatrist | 1786 Wilbraham Rd, Springfield, MA 01119 | 2005-12-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on SIEBERT PODIATRY PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.