MARK ALLEN SIEBRECHT (NPI# 1295724243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295724243 |
| Entity Type | Individual |
| Full Name | MARK ALLEN SIEBRECHT |
| Credential | D.P.M. |
| Practice Address |
255 W. Lucas St. Marengo IA 52301 |
| Mailing Address |
255 W Lucas St Marengo IA 52301-1331 |
| Practice Telephone | 3197416789 |
| Practice Fax Number | 3197416791 |
| Mailing Telephone | 3197416789 |
| Mailing Fax Number | 3197416791 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2013-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00701 | IA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 2221713 | 05 | |
| IA | WELLMARK PROVIDER NUMBER | 35111 | 01 |
| Street Address |
255 W. LUCAS ST. |
| City | MARENGO |
| State | IA |
| Zip Code | 52301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659382596 | Terry Lee Babor | Dentist | 599 Eastern Ave, Marengo, IA 52301 | 2006-08-09 |
| 1134158934 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 1400 Harrison, Quincy, IL 52301 | 2006-07-02 |
| 1336182971 | Mark B. Irland | Family Medicine | 300 W. May St., Marengo, IA 52301 | 2006-06-13 |
| 1184159378 | Katie Collingwood | Counselor | 398 W South St, Marengo, IA 52301-1231 | 2017-04-25 |
| 1043375132 | Marengo Memorial Hospital | Family Medicine | 300 W May St Ste A, Marengo, IA 52301-1261 | 2006-12-27 |
| 1285637835 | George Maurice Miller Jr. | Surgery | 300 W May St, Marengo, IA 52301-1261 | 2005-05-27 |
| 1548881519 | Riley Bradley | Physical Medicine & Rehabilitation | 300 W May St, Marengo, IA 52301-1261 | 2020-04-30 |
| 1841846383 | Dalton Boland | Physical Therapist | 300 W May St, Marengo, IA 52301-1261 | 2019-08-12 |
| 1639650013 | Andrew Marzocchi | Physical Therapy Assistant | 300 W May St, Marengo, IA 52301-1261 | 2018-08-23 |
| 1407349038 | Marengo Memorial Hospital | Pharmacy | 300 W May St, Marengo, IA 52301-1261 | 2018-06-08 |
| Find all providers in zip 52301 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189296 | Linda Bratkiewicz Podiatry Pllc | Podiatrist | 1301 Pennsylvania Ave Ste 115, Des Moines, IA 50316-2364 | 2020-06-18 |
| 1407377344 | Fusion Foot and Ankle, LLC | Podiatrist | 110 Us Hwy 6 Suite 80, Waukee, IA 50263 | 2017-06-30 |
| 1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
| 1780068114 | Kara Franzen | Podiatrist | 1500 Delhi St Ste 2200, Dubuque, IA 52001-6359 | 2015-07-15 |
| 1265835474 | Iowa Foot & Ankle Specialists, Pllc | Podiatrist | 2884 Aaa Ct, Bettendorf, IA 52722-3406 | 2014-10-01 |
| 1932462256 | Jennifer Ann Fuehrer | Podiatrist | 1327 Sunset Drive, Suite 300, Norwalk, IA 50211 | 2012-06-21 |
| 1912278490 | Collin E. Pehde Dpm, Pllc | Podiatrist | 500 E Court Ave, Suite 314, Des Moines, IA 50309-2057 | 2012-01-16 |
| 1912285479 | Joshua R Modlin | Podiatrist | 4214 Fleur Dr Ste 7, Des Moines, IA 50321-2300 | 2011-08-01 |
| 1326336397 | Brian David Hunziker | Podiatrist | 80 E Hickman Rd, Waukee, IA 50263-5011 | 2011-07-12 |
| 1306175104 | Justin J. Raatz | Podiatrist | 500 E Court Ave Ste 314, Des Moines, IA 50309-2057 | 2009-12-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.