Provider Demographics
NPI:1518129808
Name:SIEBER, RICHARD W (DPM)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:W
Last Name:SIEBER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 24TH AVE SOUTH
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212
Mailing Address - Country:US
Mailing Address - Phone:615-708-5658
Mailing Address - Fax:
Practice Address - Street 1:1310 24TH AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2637
Practice Address - Country:US
Practice Address - Phone:615-708-5658
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC005863213E00000X, 213ES0103X
TNTN686213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA25-1754199OtherDEVON
PA856681OtherHIGHMARK GROUP #
PA25-1754199OtherPROCURA
PA2057487OtherHIGHMARK
PA25-1754199OtherVANTAGE
PA25-1754199OtherINTERGROUP
PA732946OtherUPMC
PA102193508 0001Medicaid
PA1021935080003Medicaid
PA25-1754199OtherSELECT CARE
PA25-1754199OtherHEALTH AMERICA
PA9560163OtherCIGNA
PAP00757254OtherRAILROAD MEDICARE
PA25-1754199OtherUNITED HEALTHCARE
PA856681OtherHIGHMARK GROUP #
PA25-1754199OtherINTERGROUP
PA25-1754199OtherVANTAGE
PA25-1754199OtherPROCURA