Tim Siepel MD P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TIM SIEPEL MD P.C.

Practice address

8912 Hebdon Rd
West Valley, NY 14171-9741

Phone

(716) 942-3219

Fax

(716) 942-3977

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy V Siepel, M.D.NPI 1053348599

Title

Owner

Phone

(716) 942-3219

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Service Medical P.C. Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Service Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Service Medical

  • Physician Assistant
  • Springville, NY
  • NPI 1710068325
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Vincent Siepel, MD

  • Family Medicine Physician
  • West Valley, NY
  • NPI 1053348599
  Medicare reassignment Authorized official
• Ann Michelle Denardin, M.D.

  • Adult Medicine Physician
  • Amherst, NY
  • NPI 1982660205
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1073613014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8912 HEBDON RD",
            "city": "WEST VALLEY",
            "state": "NY",
            "postal_code": "141719741",
            "telephone_number": "716-942-3219",
            "fax_number": "716-942-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8912 HEBDON RD",
            "city": "WEST VALLEY",
            "state": "NY",
            "postal_code": "141719741",
            "telephone_number": "716-942-3219",
            "fax_number": "716-942-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM SIEPEL MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "SIEPEL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-942-3219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006266-64",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Service Medical P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jessica Lamphier, M.S., CCC-SLP
• Janet Lee Ottaviano, RN
• Theodore Ring
• Erika Lynn Seltzer
• Timothy Vincent Siepel, MD
• West Valley Central School
• West Valley Volunteer Hose Company Inc.
• Denise Worner, LPN

• Family Medicine Physician in West Valley, NY
• Providers in West Valley, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.