Matthew Peters Sieradski, M.AC.O.M., L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00907 Issued in OR

Practice address

260 E 15TH Ave
Suite F
Eugene, OR 97401-4177

Phone

(541) 579-1153

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444348800000",
    "number": "1881756047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 E 15TH AVE",
            "address_2": "SUITE F",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014177",
            "telephone_number": "541-579-1153",
            "fax_number": "541-344-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E 15TH AVE",
            "address_2": "SUITE F",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014177",
            "telephone_number": "541-579-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERADSKI",
        "first_name": "MATTHEW",
        "middle_name": "PETERS",
        "name_prefix": "Mr.",
        "credential": "M.AC.O.M., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2015-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC00907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A Siemens, LMT
• Mark J Siemens, LCSW
• Tara Sieminski
• Jolene Siemsen, A.N.P.
• Roland Michael Sieracki, L.AC, DIPL.O.M.,CKTP
• Sierra Corbin
• Miranda Nicole Sierra
• Wanda Sigafus
• Signature Hospice Eugene, LLC
• Zoe Sigola, M.S., QMHP

• Acupuncturist in Eugene, OR
• Providers in Eugene, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.