Active NPI
Elizabeth Siitari, MD
- Family Medicine Physician
- Ottumwa, IA
National Provider Identifier
1548236664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 26964
- Practice address
- 920 N Quincy Ave
Ottumwa, IA 52501-3866 - Phone
- (641) 455-5200
- Fax
- (641) 455-5150
- NPI assigned
- Feb 28, 2006
- Last updated
- May 8, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 26964 | IA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 26964 | IA |
Addresses
Primary practice location
920 N Quincy Ave
Ottumwa, IA 52501-3866
Mailing address
920 N Quincy Ave
Ottumwa, IA 52501-3866
Phone (641) 455-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 560910023 | Other | IA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26964 | IA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1548236664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 N QUINCY AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525013866",
"telephone_number": "641-455-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 N QUINCY AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525013866",
"telephone_number": "641-455-5200",
"fax_number": "641-455-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIITARI",
"first_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "26964",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IA",
"license": "26964",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "560910023",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.