Veronika Siebenkotten-Branca, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD438258 Issued in PA

Practice address

1775 Country Club Blvd
Mount Dora, FL 32757-6950

Phone

(607) 216-1089

NPI assigned

Nov 24, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543017600000",
    "number": "1003385766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 COUNTRY CLUB BLVD",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576950",
            "telephone_number": "607-216-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 COUNTRY CLUB BLVD",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576950",
            "telephone_number": "607-216-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBENKOTTEN-BRANCA",
        "first_name": "VERONIKA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-24",
        "last_updated": "2018-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD438258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Michael Shooker, D.C.
• Larry Edward Shyers, PH.D.
• Benson Sia, P.T.
• Trey Sidenbender
• Michelle L Sidor, ARNP
• Shauna Simon
• Stephanie Simon, RBT
• Riana Colvin Skorupa, ARNP-BC
• Brittany Smith, RBT
• Felicia Smith

• Obstetrics & Gynecology Physician in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.