Active NPI
Neil Siamson, M.D.
- Emergency Medicine Physician
- West Branch, MI
National Provider Identifier
1689699076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301034792
- Practice address
- 2463 South M-30
West Branch, MI 48661 - Phone
- (989) 345-3660
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301034792 | MI | Primary |
| Emergency Medicine Physician | 207P00000X | F2958 | TX | |
| Emergency Medicine Physician | 207P00000X | 117904 | NY |
Addresses
Primary practice location
2463 South M-30
West Branch, MI 48661
Mailing address
927 W Wright St
West Branch, MI 48661-9309
Phone (989) 345-3169
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NS034792 | Other | MI | BLUE SHIELD |
| 1689699076 | Other | MI | BCBS MI |
| 3474805 | Medicaid | MI | |
| 1689699076 | Medicaid | MI |
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 |
|---|---|---|---|
| 117904 | NY | MD | Emergency Medicine Physician |
| F2958 | TX | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291334400000",
"number": "1689699076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 W WRIGHT ST",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486619309",
"telephone_number": "989-345-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2463 SOUTH M-30",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "48661",
"telephone_number": "989-345-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIAMSON",
"first_name": "NEIL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2010-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301034792",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "F2958",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "117904",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "NS034792",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MI",
"identifier": "1689699076",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3474805",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689699076",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Branch, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.