Eliezer Sidon, MD

Primary specialty

Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X

License

LT000789 Issued in PA

Practice address

1015 Chestnut St Ste 801
Philadelphia, PA 19107-4308

Phone

(215) 955-1500

NPI assigned

Sep 17, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1505606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505606400000",
    "number": "1710406103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 HAVERFORD RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190962624",
            "telephone_number": "484-800-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT ST STE 801",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074308",
            "telephone_number": "215-955-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDON",
        "first_name": "ELIEZER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-17",
        "last_updated": "2017-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "PA",
            "license": "LT000789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidney Hillman Medical Center
• Sidney Hillman Medical Center Multi-Specialty
• Sidney Hillman Multi Specialty
• Sidney Hillman Ortho
• Sidney Hillman Podiatry
• Barbara Mary Siebert, DNP, CRNP, FNP-BC
• Hedy Lydia Siedarta
• Alyssa D Siegel, MD
• Andrew Michael Siegel, MD
• Arthur Siegel, MD

• Orthopaedic Foot and Ankle Surgery Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Orthopaedic Foot and Ankle Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2017; 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.