JAN K. SIEBERSMA


Address: 745 Buena Vista Dr, Lander, WY 82520-3431
Phone: 3073322941

JAN K. SIEBERSMA (NPI# 1952303216) 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) 1952303216
Entity Type Individual
Full Name JAN K. SIEBERSMA
Credential M.D.
Practice Address 745 Buena Vista Dr
Lander
WY 82520-3431
Practice Telephone 3073322941
Practice Fax Number 3073321920
Mailing Telephone 3073322941
Mailing Fax Number 3073321920
Enumeration Date 2005-06-01
Last Update Date 2015-06-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 8076A WY Allopathic & Osteopathic Physicians
N 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
92-345 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM BCBS NM009818 01
NM LOVELACE 5275478 01
NM PRES 25802 01
NM F6662 05

Office Location

Street Address 745 BUENA VISTA DR
City LANDER
State WY
Zip Code 82520-3431

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558912477 Susan Gail Wolff Nurse Practitioner 745 Buena Vista Dr, Lander, WY 82520-3431 2019-09-23
1093203069 Kristine Marie Cardinal Nurse Practitioner 745 Buena Vista Dr, Lander, WY 82520-3431 2018-04-25
1538688015 Anna Felton Nurse Practitioner 745 Buena Vista Dr, Lander, WY 82520-3431 2017-09-15
1699200451 Regina Ommen Advanced Practice Midwife 745 Buena Vista Dr, Lander, WY 82520-3431 2017-04-28
1861821837 Julia Fairbank Physician Assistant 745 Buena Vista Dr, Lander, WY 82520-3431 2013-11-10
1073856225 Broc Codi White Family Medicine 745 Buena Vista Dr, Lander, WY 82520-3431 2013-04-05
1700123288 Gannett Peak Physical Medicine LLC Physical Medicine & Rehabilitation 745 Buena Vista Dr, Lander, WY 82520-3431 2013-01-03
1407109762 Michael R. Swenson Psychiatry & Neurology 745 Buena Vista Dr, Lander, WY 82520-3431 2012-10-23
1073811584 Shirley E Schatza Nurse Practitioner 745 Buena Vista Dr, Lander, WY 82520-3431 2011-03-08
1245556190 Clinton Mcmahill Internal Medicine 745 Buena Vista Dr, Lander, WY 82520-3431 2010-04-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689288201 Wind River Wraparound Community/Behavioral Health 16 Sandhills Rd., Lander, WY 82520 2020-09-01
1346700622 Wind River Family & Community Health Care Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 510 Ethete Rd., Ethete, WY 82520 2019-03-22
1447710843 Wind River Family and Community Health Care Clinic/Center 510 Ethete Road, Ethete, WY 82520 2019-03-21
1780103614 John Thomas Scarince Case Manager/Care Coordinator 748 Main, Lander, WY 82520 2017-09-12
1326560780 Benessere Clinic LLC Specialist 195 Capitol St., Lander, WY 82520 2017-07-07
1881134500 Susan Kreager Nutritionist 643 Blue Sky Hwy 132, Ethete, WY 82520 2017-02-28
1346792298 Elisabeth Krause Clinic/Center 65 N, Granier Ave, Atlantic City, WY 82520 2016-10-26
1649640368 Melinda Kay Cox Day Training, Developmentally Disabled Services 382 Washakie, Lander, WY 82520 2015-10-07
1942602677 Carmen Champlin Registered Nurse 397 S 5th, Lander, WY 82520 2014-09-25
1366867806 Kelly Johnson Social Worker 7324 Highway 789, Lander, WY 82520 2014-02-20
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003115577 Stephen A. Hickner, M.d., LLC Obstetrics & Gynecology 8160 Highway 789, Lander, WY 82520-2953 2011-03-22
1932547171 Lander Womens Care LLC Obstetrics & Gynecology 206 Main St, Lander, WY 82520-3128 2013-06-10
1245326867 James Clayton Brubaker Obstetrics & Gynecology 745 Buena Vista Dr, Lander, WY 82520-3431 2006-10-04
1942395652 Karla Lee Wagner Obstetrics & Gynecology 745 Buena Vista Dr, Lander, WY 82520-3431 2006-10-04
1457454837 Thomas E Dunaway Obstetrics & Gynecology 1460 Main St, Lander, WY 82520-2657 2006-09-07
1669426292 Jacques D. Beveridge Md Obstetrics & Gynecology 1460 Main St, Suite B, Lander, WY 82520-2657 2006-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477995454 Camille Stephanie Mellijor-figg Obstetrics & Gynecology 430 S Cache St, Jackson, WY 83001-8692 2013-07-19
1871803874 Cy Edwards Md of Wy, PC Obstetrics & Gynecology 940 E 3rd St., Suite 211, Casper, WY 82601-3251 2010-10-12
1588977250 James Lloyd Obstetrics & Gynecology 777 Ave H., Powell Valley Healthcare, Powell, WY 82435 2010-07-22
1215266705 Casper Women's Care, PC Obstetrics & Gynecology 770 East 2nd, Casper, WY 82601-2621 2009-12-14
1942537717 Robert George Ouellette Obstetrics & Gynecology 1081 Decker Rd, Sheridan, WY 82801-9653 2009-11-15
1821225160 Robert Morris Wagner Obstetrics & Gynecology 1004 Erie Dr, Buffalo, WY 82834-2587 2009-06-13
1063656536 Jack Vernon Richard Obstetrics & Gynecology 3500 Hat Six Road, Casper, WY 82609 2009-04-28
1710126420 Arthur C Pollack Obstetrics & Gynecology 68 Hanna Creek Rd, Big Horn, WY 82833-0533 2009-02-19
1265571046 Andrea Chisholm Obstetrics & Gynecology 424 Yellowstone Ave Ste 330, Cody, WY 82414 2007-02-06
1134272917 Casper Obstetrical and Gynecological Associates PC Obstetrics & Gynecology 150 North Melrose St., Casper, WY 82601-2735 2007-01-18
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Competitor

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City LANDER
Zip Code 82520

Improve Information

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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.

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