Individual provider Active NPI

Paul W Sieckmann, M.D.

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1841280856
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19795 Issued in AZ
Practice address
10210 N 92ND St
Ste #106
Scottsdale, AZ 85258-4509
Phone
(480) 661-1755
Fax
(480) 661-9636
NPI assigned
Oct 21, 2005
Last updated
Jan 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19795 AZ Primary

Addresses

Primary practice location

10210 N 92ND St
Ste #106
Scottsdale, AZ 85258-4509

Mailing address

10210 N 92ND St
Ste #106
Scottsdale, AZ 85258-4509
Phone (480) 661-1755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20080715000574 AZ Practitioner - Family Practice 5395818991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

9327 N 3Rd St
Suite 100
Phoenix, AZ 85020-2471
Phone (602) 371-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19795AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Family Medicine Current Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Ambulatory CurrentSince Feb 18, 2014 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Squaw Peak Family Physicians PC Family Medicine Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Honorhealth Ambulatory CurrentSince Feb 18, 2014 Accepting new patients
Sarasota Emergency Associates PA Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

10200 N 92nd St
Ste 150
Scottsdale, AZ 85258
Phone (480) 860-8488

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • Direct secure messaging: psieckmann35260@direct.honorhealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1841280856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST",
            "address_2": "STE #106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584509",
            "telephone_number": "480-661-1755",
            "fax_number": "480-661-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST",
            "address_2": "STE #106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584509",
            "telephone_number": "480-661-1755",
            "fax_number": "480-661-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIECKMANN",
        "first_name": "PAUL",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "19795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.