Provider Demographics
NPI:1467456202
Name:SIEMS, LAURA J (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:J
Last Name:SIEMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6642 OAK DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-6952
Mailing Address - Country:US
Mailing Address - Phone:814-644-0353
Mailing Address - Fax:
Practice Address - Street 1:306 PLUM ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:PA
Practice Address - Zip Code:16693-1116
Practice Address - Country:US
Practice Address - Phone:814-832-3405
Practice Address - Fax:814-832-3811
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD066187L207Q00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA204996OtherUPMC
PAP00299249OtherRAILROAD MEDICARE-AFP
PAP00297021OtherRAILROAD MEDICARE-WFP
PA178360OtherUNISON HEALTH PLAN - WFP
PA41642-W407OtherGEISINGER HEALTH PLAN- WFP
PA976443OtherHIGHMARK BLUE SHIELD
GACD7397OtherRAILROAD MEDICARE GROUP - WFP
PA178365OtherUNISON HEALTH PLAN - OBSTETRICS - WFP
PA178386OtherUNISON HEALTH PLAN OBSTETRICS - APF
PA41642-W402OtherGEISINGER HEALTH PLAN - AFP
GACA9269OtherRAILROAD MEDICARE GROUP - AFP
PA0017091430003Medicaid
PA0017091430004Medicaid
PA1007278290092Medicaid
PA155623OtherHIGHMARK GROUP - AFP
PA178383OtherUNISON HEALTH PLAN - AFP
PA436306OtherMEDICARE GROUP - AFP
PA719342OtherMEDICARE GROUP - WFP
PA1007278290086Medicaid
PA120138OtherHIGHMARK GROUP - WFP
PAP007048OtherGATEWAY HEALTH PLAN
PA204996OtherUPMC
PA719342OtherMEDICARE GROUP - WFP
PA1007278290092Medicaid