Individual provider Active NPI

Joseph W Siko Jr., DPM

  • Podiatrist
  • Petersburg, VA
National Provider Identifier
1578635934
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103000871 Issued in VA
Practice address
601 Old Wagner Rd
Petersburg, VA 23805-9313
Phone
(804) 722-3330
Fax
(888) 871-5546
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103000871 VA
Podiatrist 213E00000X 0103000871 VA Primary

Addresses

Primary practice location

601 Old Wagner Rd
Petersburg, VA 23805-9313

Mailing address

601 Old Wagner Rd
Petersburg, VA 23805-9313
Phone (434) 755-7896

Other practice location 1

416 Bracey Ln
South Hill, VA 23970-1631
Phone (804) 732-1211

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Cardiology CurrentSince Oct 1, 2017 Accepting new patients

Locations

3333 S Crater Rd
Ste 3E
Petersburg, VA 23805
Phone (804) 203-0620

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1578635934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 OLD WAGNER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059313",
            "telephone_number": "434-755-7896",
            "fax_number": "888-871-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 OLD WAGNER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059313",
            "telephone_number": "804-722-3330",
            "fax_number": "888-871-5546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 Bracey Ln",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239701631",
            "country_code": "US",
            "telephone_number": "804-732-1211",
            "fax_number": "888-871-5546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIKO",
        "first_name": "JOSEPH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103000871",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103000871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.