DR. ELISE ANTOINETTE SIDERIS (NPI# 1487090833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487090833 |
Entity Type | Individual |
Full Name | DR. ELISE ANTOINETTE SIDERIS |
Credential | MD |
Practice Address |
1201 Broad Rock Blvd # 181 Richmond VA 23224-4915 |
Mailing Address |
1201 Broad Rock Blvd, #181 Richmond VA 23224 |
Practice Telephone | (804) 675-5000 |
Practice Fax Number | 8046756945 |
Mailing Telephone | 8046755000 |
Enumeration Date | 2013-05-13 |
Last Update Date | 2017-06-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
0101261987 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | DEA | FS6826284 | 01 |
Street Address |
1201 BROAD ROCK BLVD # 181 |
City | RICHMOND |
State | VA |
Zip Code | 23224-4915 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053919282 | Impulse Transport LLC | Taxi | 2119 Clearfield St, Richmond, VA 23224 | 2020-10-10 |
1528629482 | Takiera El-amin | Counselor | 2505 Warwick Ave, Richmond, VA 23224 | 2019-06-21 |
1750851200 | Mosley Trucking Corporation | Non-emergency Medical Transport (VAN) | 2740 Geneva Drive, Richmond, VA 23224 | 2018-11-27 |
1154897569 | Michelle H Chou | Music Therapist | 1125 Bainbridge St Apt 13, Richmond, VA 23224 | 2018-10-23 |
1801385257 | Emily Pratt Harris | Social Worker | 4730 N. Southside Plaza, Richmond, VA 23224 | 2018-05-01 |
1649782657 | Tamika Shavon Starks | Driver | 4134 Leaked Avenue, Richmond, VA 23224 | 2017-10-31 |
1992221972 | Benjamin Franklin Petway | Driver | 6013 Zurich Drive, Richmond, VA 23224 | 2017-08-21 |
1497280457 | Tracy Williams Parker | Pharmacist | 4730 N Southside Plaza, Richmond, VA 23224 | 2017-04-27 |
1114450624 | Jacqueline Britz | Family Medicine | 4730 E Southside Plaza, Richmond, VA 23224 | 2017-04-11 |
1932656477 | Afia Medical Transportation Ltd | Non-emergency Medical Transport (VAN) | 227 E Belt Blvd, Suit A, Richmond, VA 23224 | 2016-09-01 |
Find all providers in zip 23224 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508125386 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 1501 Maple Ave Ste 100, Richmond, VA 23226-2553 | 2012-05-14 |
1043512205 | James Thompson Medical, Pllc | Internal Medicine | 507 N 28th St, Richmond, VA 23223-7303 | 2010-11-21 |
1831301704 | Mary Elizabeth Simmers | Internal Medicine | 701 Gordon Ave, Richmond, VA 23224-7019 | 2007-05-04 |
1982146155 | Premier Hospitalists of Houston Pllc | Internal Medicine | 13023 Orchard Glen Dr, Richmond, TX 77407-3204 | 2016-11-05 |
1023479938 | James Thompson Medical LLC | Internal Medicine | 5206 Markel Rd, Suite 102, Richmond, VA 23230-3044 | 2016-03-19 |
1962822759 | Laura Rosalie Lawson | Internal Medicine | 1201 Broad Rock Blvd, Richmond, VA 23249 | 2014-04-21 |
1083057194 | Brittany Lynn Craven | Internal Medicine | 1250 E Marshall St, Richmond, VA 23298-5051 | 2013-04-09 |
1922371988 | Pattie A Clay Infirmary Assn. | Internal Medicine | 789 Eastern Byp, Suite 11, Richmond, KY 40475-2415 | 2012-02-21 |
1003184466 | Amy Samantha May Paul | Internal Medicine | 1250 E Marshall St, Dept. of Internal Medicine/geriatric Medicine, Richmond, VA 23298-5051 | 2011-12-13 |
1972802569 | Adedayo O Fashoyin | Internal Medicine | 1250 E Marshall St, Internal Medicine, Richmond, VA 23298-5051 | 2011-03-22 |
Find all providers in RICHMOND |
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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.