Jorge L Sifuentes, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

35055919 Issued in OH

Practice address

1001 Bellefontaine Ave
Lima, OH 45804-2800

Phone

(419) 228-3335

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

• Buckeye Anesthesia Services & Consultants LLC

  • Anesthesiology Physician
  • Lima, OH
  • NPI 1225079270

  OH

  Medicare reassignment
• Anesthesia Associates of Lima Inc

  • Certified Registered Nurse Anesthetist
  • Lima, OH
  • NPI 1487662300

  Anesthesiology

  NPD (past)
• Consolidated Anesthesiologists Inc

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1952377798

  Anesthesiology

  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 13, 2018.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1760424519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 COMMERCE PKWY STE 101",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458044040",
            "telephone_number": "419-998-4575",
            "fax_number": "419-998-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-228-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIFUENTES",
        "first_name": "JORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35055919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000175871",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050077131",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0788876",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Siefker
• Erica Siefker, PA-C
• Kirsten Siefker
• Mallory Siefker, OTR/L
• Anne Marie Sielschott, APRN.CNP
• Todd E Sigler, PA-C
• Samuca Silva Franco Filho, MD
• Lori Silverman, COTAL
• Sinay R Simba-Kai
• Kelsey Simmerly

• All providers in Lima, OH
• Anesthesiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.