MR. RICHARD WAYNE SIDERS MD NPI 1477630432

NPI Information

NPI: 1477630432
Provider Name: MR. RICHARD WAYNE SIDERS, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
500 OSBORN BLVD
SAULT STE MARIE, MI
ZIP 49783
Phone: (906) 635-4438
Get Directions

MR. Richard Wayne Siders, MD is a diagnostic radiology radiology in Sault Ste Marie, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MR. Richard Wayne Siders, MD NPI is 1477630432. 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:

500 OSBORN BLVD
SAULT STE MARIE, MI
ZIP 49783
Phone: (906) 635-4438
Fax: (906) 635-4467

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/3/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	4301029531	MICHIGAN	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	4920637	MEDICAID	MICHIGAN
2	A76002075	MEDICARE PIN	MICHIGAN
3	P41100006	MEDICARE PIN	MICHIGAN

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: 5/5/2024

NPI Synchronization or Removal

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