Ernest Frederick Joseph Siebold, D.O.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

C2-0000842 Issued in DE

Practice address

282 The Green
University of Delaware, Student Health Service
Newark, DE 19716-8101

Phone

(302) 831-2226

Fax

(302) 831-4252

NPI assigned

Aug 2, 2005

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. E. F. Joseph Siebold Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

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.

• University of Delaware Student Health Service

  • Student Health Clinic/Center
  • Newark, DE
  • NPI 1063555605
  NPD (past)

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417958463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 HIDDEN VALLEY DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117463",
            "telephone_number": "302-738-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 THE GREEN",
            "address_2": "UNIVERSITY OF DELAWARE, STUDENT HEALTH SERVICE",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197168101",
            "telephone_number": "302-831-2226",
            "fax_number": "302-831-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEBOLD",
        "first_name": "ERNEST FREDERICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "DE",
            "license": "C2-0000842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "E. F.",
            "last_name": "SIEBOLD",
            "middle_name": "JOSEPH",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jeffrey D Shuman, MD
• Brianna Shumate, LCSW, M.ED
• Siamak Samii MD
• Leigh Anne N Sibert, RN MSN
• Christopher R Sidden, M.D.
• Megan Siegel, DPT
• Scott D Siegel, PHD
• Paul R Sierzenski, MD
• Alyssa Christine Sifer, PT
• Kaushal Sigdel, MD

• Pediatric Adolescent Medicine Physician in Newark, DE
• Providers in Newark, DE by specialty
• Pediatric Adolescent Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.