Phillip W Siemer, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PS051573 Issued in MI

Practice address

93 W Fourth St Ste C
Suttons Bay, MI 49682-8408

Phone

(231) 271-5990

Fax

(231) 271-5959

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Whole Health Regenerative Medicine, PC

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1821749805
  NPD
• Northport Medical Clinic PLC

  • Clinic/Center
  • Northport, MI
  • NPI 1316041569
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1588612972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496820397",
            "telephone_number": "231-271-5990",
            "fax_number": "231-271-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 W FOURTH ST STE C",
            "city": "SUTTONS BAY",
            "state": "MI",
            "postal_code": "496828408",
            "telephone_number": "231-271-5990",
            "fax_number": "231-271-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEMER",
        "first_name": "PHILLIP",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "PS051573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588612972",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4254790",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "700D510020",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "700D510020",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica M Paquette, DO
• Abigail Lee Paulson
• Andrew Rummel, D.D.S., M.S.
• Angela Kay Schaub, FNP
• Heather Morgan Sedgwick, FNP-C
• Andrea Dugan Skrocki, APRN
• Rosalyn Stringer, APRN, PMHNP-BC
• Suttons Bay Bingham Fire Rescue
• Suttons Bay Dental Center PLLC
• Suttons Bay Medical Clinic, PLC

• Family Medicine Physician in Suttons Bay, MI
• Providers in Suttons Bay, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.