Ronald J. Siegle, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35050851 Issued in OH

Practice address

428 County Line Road
Westerville, OH 43082-7027

Phone

(614) 847-4100

Fax

(614) 430-1601

NPI assigned

Dec 9, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• CSD ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Westerville, OH
  • NPI 1821159823
  NPD (past)

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780669044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 COUNTY LINE ROAD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827027",
            "telephone_number": "614-847-4100",
            "fax_number": "614-430-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 COUNTY LINE ROAD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827027",
            "telephone_number": "614-847-4100",
            "fax_number": "614-430-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGLE",
        "first_name": "RONALD",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35050851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0558632",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00086799",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000309765",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Sickles
• Amanda Lee Siders, RBT
• Jessica Siebold
• Michael Robert Siedow, M.D.
• Lori Lynn Siegel, MS, ATC
• Dawn Renae Sifft, D.C.
• Taylor Sikich, BCBA/COBA
• Nadia Silva
• Silver Lining Group LLC
• Simba Integrated Healthcare LLC

• Dermatology Physician in Westerville, OH
• Providers in Westerville, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.