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TIM SIEPEL MD P.C. NPI 1073613014


NPI Information

NPI: 1073613014
Provider Name: TIM SIEPEL MD P.C.

Former Legal Business Name: SERVICE MEDICAL P.C.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
8912 HEBDON RD
WEST VALLEY, NY
ZIP 14171
Phone: (716) 942-3219
Get Directions

TIM SIEPEL MD P.C. is a family medicine in West Valley, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TIM SIEPEL MD P.C. NPI is 1073613014. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Service Medical P.c..

The provider's business location address is:

8912 HEBDON RD
WEST VALLEY, NY
ZIP 14171-741
Phone: (716) 942-3219
Fax: (716) 942-3977

The provider's authorized official is Timothy V Siepel .
The authorized official title is Owner and has the following contact phone number (716) 942-3219.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 10/5/2011.


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
1207Q00000XFamily MedicineYes

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
1B36042MEDICARE UPINNEW YORK
2006266-64MEDICAIDNEW YORK
3S070363MEDICARE ID-TYPE UNSPECIFIEDNEW YORK

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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