NPIMap

Individual provider Active NPI

Effie E. Siomos, M.D.

  • Obstetrics & Gynecology Physician
  • Berlin, WI
National Provider Identifier
1376589572
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
51386-20 Issued in WI
Practice address
225 Memorial Dr Ste 2030
Berlin, WI 54923-1243
Phone
(920) 729-7105
NPI assigned
Jun 22, 2006
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 51386-20 WI Primary

Addresses

Primary practice location

225 Memorial Dr Ste 2030
Berlin, WI 54923-1243

Mailing address

3232 N Ballard Rd Ste 100
Appleton, WI 54911-8804
Phone (920) 729-7105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100816000475 WI Practitioner - Obstetrics/Gynecology 0547394322 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Wisconsin School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care of Wisconsin SCGroup PAC ID 3072416601, 23 clinicians

Practice addresses (Care Compare)

225 Memorial Dr
Suite 2030
Berlin, WI 54923-1243
Phone (920) 729-7105

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51386-20WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Care of Wisconsin S.C. Obstetrics & Gynecology CurrentSince Mar 31, 2019 Accepting new patients
Theda Clark OB Hospitalists SC Obstetrics & Gynecology CurrentSince Feb 5, 2024 Accepting new patients
Ascension NE Wisconsin, Inc Current Accepting new patients
Ascension NE Wisconsin, Inc CurrentSince Feb 15, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc PastSince Aug 16, 2010 Accepting new patients
Thedacare, Incorporated PastSince Mar 31, 2019 Accepting new patients

Locations

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

3232 N Ballard Rd
Ste 100
Appleton, WI 54911

5485 W Grande Market Dr
Ste C
Appleton, WI 54913

225 Memorial Dr
Ste 2030
Berlin, WI 54923
Phone (920) 361-5737

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

200 Theda Clark Medical Plz
Ste 130
Neenah, WI 54956

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

100 County Road B
Ste 4
Shawano, WI 54166

E3277 Apple Tree Ln
Waupaca, WI 54981
Phone (715) 256-0358

Interoperability endpoints

  • Direct secure messaging: esiomos272644@direct.thedacare.org

Organizations & group practices 6

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1376589572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3232 N BALLARD RD STE 100",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118804",
            "telephone_number": "920-729-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEMORIAL DR STE 2030",
            "city": "BERLIN",
            "state": "WI",
            "postal_code": "549231243",
            "telephone_number": "920-729-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIOMOS",
        "first_name": "EFFIE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "51386-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, WI

Sources for this page

Verify at the official NPI Registry.