Ronald D. Siegemund, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G079261 Issued in CA

Practice address

445 March Ave
Suite a
Healdsburg, CA 95448-3383

Phone

(707) 433-8223

Fax

(707) 433-1071

NPI assigned

Mar 15, 2007

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1710011366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 854",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954250854",
            "telephone_number": "707-894-9181",
            "fax_number": "707-894-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 MARCH AVE",
            "address_2": "SUITE A",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483383",
            "telephone_number": "707-433-8223",
            "fax_number": "707-433-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEMUND",
        "first_name": "RONALD",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G079261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsiegemund1658308@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "445 March Ave",
            "address_2": "Suite A",
            "city": "Healdsburg",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954483383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• George Peter Schulze, DDS
• Martha M Schwartz, DDS
• Scopa Has a Dream, Inc. Dba Corazon Healdsburg
• Shawn Widick, D.D.S. Inc.
• Lawrence W. Shephard, P,T,
• Natasha Bettina Sill, CPNP
• Amber Snyder
• Soco Physical Therapy & Performance, P.C.
• Stanley Jacobs, M.D. Inc
• Stanley Jacobs, M.D. Inc

• Pediatrics Physician in Healdsburg, CA
• Providers in Healdsburg, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.