Service Medical

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

010878 Issued in NY

Legal business name

SERVICE MEDICAL

Practice address

27 Franklin St
Springville, NY 14141-1314

Phone

(716) 592-7400

Fax

(716) 592-7519

NPI assigned

Oct 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy SiepelNPI 1053348599

Title

Medical Doctor

Phone

(716) 592-7400

Specialties & licenses 1

Addresses

Tax ID family

Service Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tim Siepel MD P.C.

  • Family Medicine Physician
  • West Valley, NY
  • NPI 1073613014
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Vincent Siepel, MD

  • Family Medicine Physician
  • West Valley, NY
  • NPI 1053348599
  NPD Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710068325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 FRANKLIN ST",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "141411314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 FRANKLIN ST",
            "city": "SPRINGVILLE",
            "state": "NY",
            "postal_code": "141411314",
            "telephone_number": "716-592-7400",
            "fax_number": "716-592-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEPEL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "716-592-7400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha Sarna, MD
• Brian Keith Scharf, DC
• Amy Elizabeth Schmitt-Kingston, DDS
• Nicole Elizabeth Schulz
• Katrina Sebzda, LMHC
• Stephan D Seybolt
• Jacqueline Lois Shaw, RN
• Tara Lynn Sherman, LMHC
• Vincent Sherman
• Lauralee Sibiga, PA-C

• Physician Assistant in Springville, NY
• Providers in Springville, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.