Peter E Sices, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301098767 Issued in MI

Practice address

235 Wealthy St SE
Grand Rapids, MI 49503-5247

Phone

(734) 793-6140

NPI assigned

Nov 18, 2005

Last updated

Feb 18, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• East Paris Internal Medicine Associates P.C

  • Internal Medicine Physician
  • Grand Rapids, MI
  • NPI 1083704233
  Medicare reassignment
• Diagnostic Medicine P.C.

  • Critical Care Medicine (Internal Medicine) Physician
  • Plymouth, IN
  • NPI 1255439022
  NPD (past)
• Northern Indiana Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Bloomington, IN
  • NPI 1497185797
  NPD (past)
• Northern Indiana Emergency Physicians, LLP

  • Emergency Medicine Physician
  • Wabash, IN
  • NPI 1700801479
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1245212893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36123 SCHOOLCRAFT",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501216",
            "telephone_number": "734-793-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WEALTHY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035247",
            "telephone_number": "734-793-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICES",
        "first_name": "PETER",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01053431A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301098767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Shyne
• Amanda Sias
• Tiffany Marie Sias
• Ceara Elaina Sibley, RDN
• Maria E Sicco, OD
• Christina E Sicklesteel
• Zain Khurram Siddiqui, DO
• Karl J Siebert, M.D.
• Rachel Dawn Mary Siebert
• Symone Lashea Siegel-Howell

• Internal Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.