Individual provider Active NPI

Elizabeth Siitari, MD

  • Family Medicine Physician
  • Ottumwa, IA
National Provider Identifier
1548236664
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26964 Issued in IA
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, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
560910023OtherIAMEDICARE 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

LicenseStateTypeSpecialty
26964IAMDFamily 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.

Verify at the official NPI Registry.