1467456202 NPI number — LAURA J SIEMS MD

Table of content: LAURA J SIEMS MD (NPI 1467456202)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467456202 NPI number — LAURA J SIEMS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SIEMS
Provider First Name:
LAURA
Provider Middle Name:
J
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467456202
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/17/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6642 OAK DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTINGDON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16652-6952
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-644-0353
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
306 PLUM ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WILLIAMSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16693-1116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-832-3405
Provider Business Practice Location Address Fax Number:
814-832-3811
Provider Enumeration Date:
06/09/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  MD066187L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207V00000X , with the licence number: MD066187L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 204996 . This is a "UPMC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: P00299249 . This is a "RAILROAD MEDICARE-AFP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: P00297021 . This is a "RAILROAD MEDICARE-WFP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 178360 . This is a "UNISON HEALTH PLAN - WFP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 41642-W407 . This is a "GEISINGER HEALTH PLAN- WFP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 976443 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: CD7397 . This is a "RAILROAD MEDICARE GROUP - WFP" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 178365 . This is a "UNISON HEALTH PLAN - OBSTETRICS - WFP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 178386 . This is a "UNISON HEALTH PLAN OBSTETRICS - APF" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 41642-W402 . This is a "GEISINGER HEALTH PLAN - AFP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: CA9269 . This is a "RAILROAD MEDICARE GROUP - AFP" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 0017091430003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0017091430004 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007278290092 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 155623 . This is a "HIGHMARK GROUP - AFP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 178383 . This is a "UNISON HEALTH PLAN - AFP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 436306 . This is a "MEDICARE GROUP - AFP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 719342 . This is a "MEDICARE GROUP - WFP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007278290086 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 120138 . This is a "HIGHMARK GROUP - WFP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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