Edward John Sibiga III, CFO

Primary specialty

Orthotic FitterTaxonomy code 225000000X

Practice address

6325 N Center Dr Ste 229
Norfolk, VA 23502-0013

Phone

(757) 470-5547

NPI assigned

Jan 22, 2019

Last updated

Jan 22, 2019By the provider in NPPES

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)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beach Orthotics

  • Durable Medical Equipment & Medical Supplies
  • Norfolk, VA
  • NPI 1033777248
  NPD Authorized official

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1730653940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 N CENTER DR STE 229",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235020013",
            "telephone_number": "757-470-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 N CENTER DR STE 229",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235020013",
            "telephone_number": "757-470-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBIGA",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CFO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Shugrue
• Beth Ann Shultz, MPT
• Victoria Shum, MD
• Wayne M Shurtz
• Ashley Gabrielle Shustak, MD
• Muhammad Siddiky, M.D.
• Kimran Sidhu
• Jordyn P Siegel, M.D.
• Brett Siegfried, M.D.
• Lauren Louise Siewertsz Van Reesema, MD

• Orthotic Fitter in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Orthotic Fitter in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.