Donald Ray Siddoway, MD

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

86722 Issued in SC

Practice address

8 Richland Medical Park Dr Ste 200
Columbia, SC 29203-8008

Phone

(803) 256-6511

Fax

(803) 376-5885

NPI assigned

Jul 2, 2008

Last updated

Mar 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in PA, SC2 enrollments

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 2

Specialty

Cardiac Electrophysiology

Education

Georgetown University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prisma Health Richland Hospital Hospital, Columbia, SC, CCN 420018
• Prisma Health Baptist Hospital, Columbia, SC, CCN 420086
• Prisma Health Baptist Parkridge Hospital, Columbia, SC, CCN 420106

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dsiddoway523220@direct.ghs.myhfn.org

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

• Prisma Health Medical Group-Midlands

  • Multi-Specialty Clinic/Center
  • Columbia, SC
  • NPI 1275988321

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment NPD
• Upmc Community Medicine, Inc

  dba Stull, Jarvis and Spinola Internal Medicine Associates - UPMC

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1558976092
  Medicare reassignment NPD
• Prisma Health Medical Group-Midlands

  dba PH Cardiology

  • Interventional Cardiology Physician
  • Columbia, SC
  • NPI 1003307166

  Cardiovascular Disease

  NPD
• Prisma Health Medical Group-Midlands

  dba PH Dentistry

  • Durable Medical Equipment & Medical Supplies
  • Columbia, SC
  • NPI 1881469856
  NPD
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD
• University of Pittsburgh Physicians

  • Cardiovascular Disease Physician
  • Pittsburgh, PA
  • NPI 1568427532
  NPD
• Upmc Community Medcine Inc

  dba Hermitage Family Practice - UPMC

  • Family Medicine Physician
  • Hermitage, PA
  • NPI 1023806676
  NPD
• Upmc Community Medicine Inc

  dba Koenig Family Practice Upmc

  • Family Medicine Physician
  • Clarion, PA
  • NPI 1215053939
  NPD

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

• Prisma Health Midlands

  dba Prisma Health Senior Primary Care

  • Geriatric Medicine (Internal Medicine) Physician
  • Columbia, SC
  • NPI 1962471946

  Hospital

  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Cancer Inst-Richland

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1033889795
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Pediatric Hematology/Oncology

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1154197846
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Richland Hosptial

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1154373843
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Richland Lab Outreach

  • General Acute Care Hospital
  • Coulmbia, SC
  • NPI 1154432458
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Baptist Hospital

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1205889458
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Assertive Community Treatment Team

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1306623137
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Cancer Inst-Richland

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1396524104
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Outpatient Pediatric Pulmonology

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1508554452
  Care Compare affiliation
• Prisma Health-Midlands

  dba Prisma Health Baptist Parkridge Hospital

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1811237985
  Care Compare affiliation

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1235392093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RICHLAND MEDICAL PARK DR STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038008",
            "telephone_number": "803-256-6511",
            "fax_number": "803-376-5885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Suncrest Town Centre Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "26505",
            "country_code": "US",
            "telephone_number": "304-598-4478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDDOWAY",
        "first_name": "DONALD",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD442073",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WV",
            "license": "27143",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "WV",
            "license": "27143",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "SC",
            "license": "86722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsiddoway43566@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsiddoway43566@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsiddoway43566@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Medical Center Dr",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265061200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeannine Shumway
• David Shure, M.D.
• Sultan Mahmud Siddique, M.D.
• Saima Karim Siddiqui, MD
• Wajid Ali Siddiqui, MD
• April Victoria Siders
• Andrew W Sides, MD
• Sidney E Morrison MD PA
• Madeline Maye Siebert
• Jennifer Siebo

• Clinical Cardiac Electrophysiology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Clinical Cardiac Electrophysiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.