Active NPI
Ami L Siems, M.D.
- Family Medicine Physician
- Yukon, OK
National Provider Identifier
1255348306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16964
- Practice address
- 1491 Health Center Parkway
Yukon, OK 73099-6767 - Phone
- (405) 806-2200
- Fax
- (405) 806-2207
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16964 | OK | Primary |
Addresses
Primary practice location
1491 Health Center Parkway
Yukon, OK 73099-6767
Mailing address
1491 Health Center Parkway
Yukon, OK 73099-6767
Phone (405) 806-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200025260A | Medicaid | OK | |
| P00035684 | Other | OK | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16964 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aquilo Health Company P C Dba Canadian Valley Family Care | Family Medicine | Current | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients |
Locations
1491 Health Center Pkwy
Yukon, OK 73099
Phone (405) 806-2200
Interoperability endpoints
- ami.siems.1@25216.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Yukon, OK
- NPI 1891869822
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1255348306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1491 HEALTH CENTER PARKWAY",
"city": "YUKON",
"state": "OK",
"postal_code": "730996767",
"telephone_number": "405-806-2200",
"fax_number": "405-806-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1491 HEALTH CENTER PARKWAY",
"city": "YUKON",
"state": "OK",
"postal_code": "730996767",
"telephone_number": "405-806-2200",
"fax_number": "405-806-2207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEMS",
"first_name": "AMI",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "16964",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200025260A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00035684",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.