Siobhan Connie-Jo Powell, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

S1684 Issued in TX

Practice address

4422 Third Ave
Bronx, NY 10457-2594

Phone

(718) 960-9000

NPI assigned

May 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Siobhan Powell Other name

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Emergency Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluff Creek Emergency Medicine Associates, PAGroup PAC ID 1355605924, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Bluff Creek Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • El Paso, TX
  • NPI 1679071690
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Texas - Houston, PLLC

  • Emergency Medicine Physician
  • Plainview, TX
  • NPI 1760028740
  Medicare reassignment NPD

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

• Tenet Hospitals Limited

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1972709970
  Care Compare affiliation

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1538548615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 THIRD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572594",
            "telephone_number": "718-960-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12101 Edgemere Blvd",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799384746",
            "country_code": "US",
            "telephone_number": "915-921-6610",
            "fax_number": "915-832-2491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 N Oregon St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799023320",
            "country_code": "US",
            "telephone_number": "915-577-6011",
            "fax_number": "915-577-7064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3280 Joe Battle Blvd",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799382622",
            "country_code": "US",
            "telephone_number": "915-832-2000",
            "fax_number": "915-832-2048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799025005",
            "country_code": "US",
            "telephone_number": "915-747-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Trawood Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799364168",
            "country_code": "US",
            "telephone_number": "915-577-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 N Oregon St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799023320",
            "country_code": "US",
            "telephone_number": "915-577-6011",
            "fax_number": "915-577-7064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SIOBHAN",
        "middle_name": "CONNIE-JO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-22",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S1684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIOBHAN",
            "last_name": "POWELL",
            "prefix": "DR.",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marilyn Powell
• Michelle Powell, M.S.ED.
• Nathlia Powell, RN
• Samantha Fiona Powell, LCSW
• Sherrell Dawn Powell, OTR/L
• Suzette Powell, RN
• Sylina Powell
• Tanya Powell, LCSW, PHD
• Tenisha K Powell
• Thriciana Melisa Powell, NURSE PRACTITIONER

• Emergency Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.