Siebert Podiatry PC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

060.001013 Issued in IL

Legal business name

SIEBERT PODIATRY PC

Practice address

102 S Grand Ave W
Springfield, IL 62704-3806

Phone

(217) 523-4539

NPI assigned

Apr 9, 2007

Organization subpart

No

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

Authorized official

Name

Kelly J Siebert

Title

Secretary

Phone

(217) 523-4539

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Siebert and Sipes Podiatry, PC Former legal business name

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1063535656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S GRAND AVE W",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043806",
            "telephone_number": "217-523-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S GRAND AVE W",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043806",
            "telephone_number": "217-523-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIEBERT PODIATRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "SIEBERT",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "217-523-4539"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "060.001013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "60115587",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siebert and Sipes Podiatry, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Afnan Siddiqui
• Gurjeet Kaur Sidhu, DDS
• Cheyenne Lee Sidwell
• Joseph Francis Siebenaler, M.D.
• Melanie S Sieberg, LCPC
• Philip G. Siebert, DPM
• Sarah Siegel, LCSW
• Abby N Siegrist, FNP-C
• Megan D Siegrist, AGNP-C
• Carrie L Sieren, CNP

• Podiatrist in Springfield, IL
• Providers in Springfield, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.