DR. ELISE ANTOINETTE SIDERIS


Address: 1201 Broad Rock Blvd # 181, Richmond, VA 23224-4915
Phone: (804) 675-5000

DR. ELISE ANTOINETTE SIDERIS (NPI# 1487090833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487090833
Entity Type Individual
Full Name DR. ELISE ANTOINETTE SIDERIS
Credential MD
Practice Address 1201 Broad Rock Blvd # 181
Richmond
VA 23224-4915
Mailing Address 1201 Broad Rock Blvd, #181
Richmond
VA 23224
Practice Telephone (804) 675-5000
Practice Fax Number 8046756945
Mailing Telephone 8046755000
Enumeration Date 2013-05-13
Last Update Date 2017-06-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
0101261987 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA DEA FS6826284 01

Office Location

Street Address 1201 BROAD ROCK BLVD # 181
City RICHMOND
State VA
Zip Code 23224-4915

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053919282 Impulse Transport LLC Taxi 2119 Clearfield St, Richmond, VA 23224 2020-10-10
1528629482 Takiera El-amin Counselor 2505 Warwick Ave, Richmond, VA 23224 2019-06-21
1750851200 Mosley Trucking Corporation Non-emergency Medical Transport (VAN) 2740 Geneva Drive, Richmond, VA 23224 2018-11-27
1154897569 Michelle H Chou Music Therapist 1125 Bainbridge St Apt 13, Richmond, VA 23224 2018-10-23
1801385257 Emily Pratt Harris Social Worker 4730 N. Southside Plaza, Richmond, VA 23224 2018-05-01
1649782657 Tamika Shavon Starks Driver 4134 Leaked Avenue, Richmond, VA 23224 2017-10-31
1992221972 Benjamin Franklin Petway Driver 6013 Zurich Drive, Richmond, VA 23224 2017-08-21
1497280457 Tracy Williams Parker Pharmacist 4730 N Southside Plaza, Richmond, VA 23224 2017-04-27
1114450624 Jacqueline Britz Family Medicine 4730 E Southside Plaza, Richmond, VA 23224 2017-04-11
1932656477 Afia Medical Transportation Ltd Non-emergency Medical Transport (VAN) 227 E Belt Blvd, Suit A, Richmond, VA 23224 2016-09-01
Find all providers in zip 23224

Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508125386 Bon Secours-st. Mary's Hospital of Richmond, Inc. Internal Medicine 1501 Maple Ave Ste 100, Richmond, VA 23226-2553 2012-05-14
1043512205 James Thompson Medical, Pllc Internal Medicine 507 N 28th St, Richmond, VA 23223-7303 2010-11-21
1831301704 Mary Elizabeth Simmers Internal Medicine 701 Gordon Ave, Richmond, VA 23224-7019 2007-05-04
1982146155 Premier Hospitalists of Houston Pllc Internal Medicine 13023 Orchard Glen Dr, Richmond, TX 77407-3204 2016-11-05
1023479938 James Thompson Medical LLC Internal Medicine 5206 Markel Rd, Suite 102, Richmond, VA 23230-3044 2016-03-19
1962822759 Laura Rosalie Lawson Internal Medicine 1201 Broad Rock Blvd, Richmond, VA 23249 2014-04-21
1083057194 Brittany Lynn Craven Internal Medicine 1250 E Marshall St, Richmond, VA 23298-5051 2013-04-09
1922371988 Pattie A Clay Infirmary Assn. Internal Medicine 789 Eastern Byp, Suite 11, Richmond, KY 40475-2415 2012-02-21
1003184466 Amy Samantha May Paul Internal Medicine 1250 E Marshall St, Dept. of Internal Medicine/geriatric Medicine, Richmond, VA 23298-5051 2011-12-13
1972802569 Adedayo O Fashoyin Internal Medicine 1250 E Marshall St, Internal Medicine, Richmond, VA 23298-5051 2011-03-22
Find all providers in RICHMOND

Competitor

Search similar providers

City RICHMOND
Zip Code 23224

Improve Information

Please comment or provide details below to improve the information on DR. ELISE ANTOINETTE SIDERIS.

Dataset Information

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.

Trending Searches