Provider Demographics
NPI:1891791216
Name:SIEWNY, GREGORY W (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:W
Last Name:SIEWNY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 160
Mailing Address - City:FRANKLIN
Mailing Address - State:OH
Mailing Address - Zip Code:45005-5200
Mailing Address - Country:US
Mailing Address - Phone:513-424-1440
Mailing Address - Fax:513-424-1422
Practice Address - Street 1:200 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 160
Practice Address - City:FRANKLIN
Practice Address - State:OH
Practice Address - Zip Code:45005-5200
Practice Address - Country:US
Practice Address - Phone:513-424-1440
Practice Address - Fax:513-424-1422
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35049923207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH641361OtherAETNA
OH0542354Medicaid
OH311236707OtherFHP HEALTH PLAN
OH4992306OtherCHOICE CARE
OH0720009OtherUHC
OH0720009OtherJF MOLLOY
OH000000275779OtherANTHEM
OH160009443OtherMEDICARE RAILROAD
OH5845285001OtherCIGNA
OH0720009OtherJF MOLLOY
OHSI0585913Medicare PIN
OH0542354Medicaid