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JOHN BARRY SIEBENLIST M.D. NPI 1164476909


NPI Information

NPI: 1164476909
Provider Name: JOHN BARRY SIEBENLIST, M.D.
Classification: Dermatology - 207NS0135X
Entity Type: Individual

Specialization: Procedural Dermatology

PECOS Registration: Yes

Address:
1551 BISHOP ST
SUITE 220
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 541-0668
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John Barry Siebenlist, M.D. is a procedural dermatology dermatology in San Luis Obispo, CA with 27 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). John Barry Siebenlist, M.D. NPI is 1164476909. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1551 BISHOP ST
SUITE 220
SAN LUIS OBISPO, CA
ZIP 93401-635
Phone: (805) 541-0668
Fax: (805) 541-8213

The NPI 1164476909 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (first stage, up to 5 tissue blocks) (HCPCS:17311)
  • Removal and microscopic examination of growth of the head, neck, hands, feet, or genitals (HCPCS:17312)
  • Destruction of skin growth (HCPCS:17000)
  • Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)
  • Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs (HCPCS:13121)
  • Tangential biopsy of single skin lesion (HCPCS:11102)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Tangential biopsy of additional skin lesion (HCPCS:11103)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)
  • Removal and microscopic examination of growth of the trunk, arms, or legs (first stage, up to 5 tissue blocks) (HCPCS:17313)

The enumeration date for this NPI number is 5/19/2006 and was last updated on 3/16/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic SurgeryA61826CALIFORNIANo
2207NS0135XDermatologyProcedural DermatologyA61826CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AQ656YMEDICARE PINCALIFORNIA
2AQ656XMEDICARE PINCALIFORNIA
3AQ656ZMEDICARE PINCALIFORNIA
4P00146047OTHERCALIFORNIARAILROAD MEDICARE
5AQ656RMEDICARE PINCALIFORNIA
6AQ656TMEDICARE PINCALIFORNIA
7AQ656SMEDICARE PINCALIFORNIA
8AQ656VMEDICARE PINCALIFORNIA
9AQ656UMEDICARE PINCALIFORNIA
10AQ656WMEDICARE PINCALIFORNIA
1100A618260MEDICARE PINCALIFORNIA
12WA61826AMEDICARE PINCALIFORNIA
13WA61826DMEDICARE PINCALIFORNIA
14H14183MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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