Paul W Sieckmann, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19795 Issued in AZ

Legal business name

PAUL W SIECKMANN, MD, PC

Practice address

10210 N 92ND St
Suite 106
Scottsdale, AZ 85258-4509

Phone

(480) 661-1755

Fax

(480) 661-9636

NPI assigned

May 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul W Sieckmann, M.D.

Title

President

Phone

(480) 661-1755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1619134756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST",
            "address_2": "SUITE 106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584509",
            "telephone_number": "480-661-1755",
            "fax_number": "480-661-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST",
            "address_2": "SUITE 106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584509",
            "telephone_number": "480-661-1755",
            "fax_number": "480-661-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL W SIECKMANN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "SIECKMANN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-661-1755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "19795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.