Laura J. Sievert, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

108427 Issued in MO

Practice address

1316 Old Highway 63 S
Suite 102
Columbia, MO 65201-6092

Phone

(573) 815-8000

NPI assigned

Oct 4, 2005

Sex

Female

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

University of Missouri, Columbia School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ernst Radiology Clinic IncGroup PAC ID 2264829639, 16 clinicians

Mercy Diagnostic Imaging PCGroup PAC ID 1153233283, 91 clinicians

Ernst Radiology Clinic, IncGroup PAC ID 2961488366, 20 clinicians

Radiology Associates of the Main Line P CGroup PAC ID 9931097193, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM St Clare Health Center Hospital, Fenton, MO, CCN 260081
• SSM Health Depaul Hospital St Louis Hospital, Bridgeton, MO, CCN 260104
• SSM Health St Mary'S Hospital - St Louis Hospital, Saint Louis, MO, CCN 260091
• Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
• Nazareth Hospital Hospital, Philadelphia, PA, CCN 390204

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ernst Radiology Clinic, Inc

  • Diagnostic Radiology Physician
  • Bridgeton, MO
  • NPI 1629000971
  Medicare reassignment Care Compare group NPD
• Ernst Radiology Clinic, Inc

  • Diagnostic Radiology Physician
  • Mount Vernon, IL
  • NPI 1699425462

  MO

  Medicare reassignment Care Compare group NPD
• Mercy Diagnostic Imaging PC

  • Diagnostic Radiology Physician
  • Darby, PA
  • NPI 1477509768

  MO

  Medicare reassignment Care Compare group
• Radiology Associates of the Main Line P C

  • Diagnostic Radiology Physician
  • Paoli, PA
  • NPI 1750332003

  MO

  Medicare reassignment Care Compare group
• Main Line Health Imaging LP

  • Diagnostic Radiology Physician
  • Wynnewood, PA
  • NPI 1477504264

  MO

  Medicare reassignment
• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641

  Diagnostic Radiology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• SSM Health Care St. Louis

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1336387836
  Care Compare affiliation
• SSM Health Care St. Louis

  • General Acute Care Hospital
  • Bridgeton, MO
  • NPI 1598835308
  Care Compare affiliation
• SSM Health Care St. Louis

  • General Acute Care Hospital
  • Fenton, MO
  • NPI 1851496152
  Care Compare affiliation
• SSM Health Care St. Louis

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1962572396
  Care Compare affiliation
• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Bryn Mawr, PA
  • NPI 1508971441
  Care Compare affiliation

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1144217233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 975",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652050975",
            "telephone_number": "817-570-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 OLD HIGHWAY 63 S",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016092",
            "telephone_number": "573-815-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEVERT",
        "first_name": "LAURA",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "108427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203996210",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Sidlow, M.D.
• Stephen M Siebert, CRNA
• Jonalyn Marie Siemer, OTR/L
• Connor Sierra
• Devon Sievers
• Veronica Conaway Sievert, MD
• Carolle Silney, M.D.
• Philip L Silva, DO
• Mikaela Simmang, MD
• Denise Rae Simmons I, PA

• Diagnostic Radiology Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.