Thomas D Siefferman, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

36052 Issued in MN

Practice address

1804 7TH St W
Suite 200
Saint Paul, MN 55116-2300

Phone

(651) 227-7806

Fax

(651) 256-6766

NPI assigned

Jan 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481155200000",
    "number": "1104806165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 7TH ST W",
            "address_2": "SUITE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162300",
            "telephone_number": "651-227-7806",
            "fax_number": "651-256-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 7TH ST W",
            "address_2": "SUITE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162300",
            "telephone_number": "651-227-7806",
            "fax_number": "651-256-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEFFERMAN",
        "first_name": "THOMAS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2016-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "36052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104806165",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth Sibunka, PT, DPT
• Robert A Sicoli, MD
• Hina Zamir Siddiqui, PSY.D. L.P
• Nicole Marie Siddons, DNP, RN, APRN, FNP-C
• Kathleen D Siechen, MD
• Delsey Lee Sieg, CRNA
• Jane T Siegal, PSYD, LP
• Sarah A Siemer, DPT
• Aleksandra Siemers, PT
• Rachel Dawn Sieps

• Pediatrics Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pediatrics Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.