Siraj U Siddiqi (NPI# 1912056318, PAC ID# 6901895390) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1912056318 |
| PAC ID by PECOS | 6901895390 |
| Professional Enrollment ID | I20040511000260 |
| Full Name | Siraj U Siddiqi |
| Organization Legal Name | BAPTIST HEALTH MEDICAL GROUP INC |
| Address |
1019 Commerce Pkwy La Grange KY 40031-8779 |
| Phone Number | 5022259098 |
| Gender | M |
| Credential | MD |
| Medical School | MARSHALL UNIVERSITY SCHOOL MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5597867184 |
| Number of Group Practice Members | 1302 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150009 | CLARK MEMORIAL HOSPITAL |
| 180138 | BAPTIST HEALTH LAGRANGE |
| 151334 | SCOTT MEMORIAL HOSPITAL |
| 180088 | NORTON HOSPITALS, INC |
| Address | Phone | Organization |
|---|---|---|
| 1220 Missouri Ave, Jeffersonville, IN 47130-3725 | ||
| 1019 Commerce Pkwy, La Grange, KY 40031-8779 | 5022259098 | BAPTIST HEALTH MEDICAL GROUP INC |
| 3900 Kresge Way, Suite 41, Louisville, KY 40207-4681 | 5028993623 | BAPTIST HEALTH MEDICAL GROUP INC |
| 3900 Kresge Way, Louisville, KY 40207-4683 | BAPTIST HEALTH MEDICAL GROUP INC | |
| 4604 Lowe Rd, Louisville, KY 40220-1514 | 5024511401 | GENESIS ELDERCARE PHYSICIAN SERVICES LLC |
| Organization Legal Name | BAPTIST HEALTH MEDICAL GROUP INC |
| Physicians | 1373 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Christin Veith | Physical Therapy | Baptist Health Medical Group Inc | 3891 Charlestown Rd, New Albany, IN 47150-9562 |
| Alexis M Pittenger | Physical Therapy | Baptist Health Medical Group Inc | 2207 Concord Ave Nw, Suite 100, Corydon, IN 47112-3097 |
| Cody Ray Mumaw | Physical Therapy | Baptist Health Medical Group Inc | 724 Highlander Point Dr, Floyds Knobs, IN 47119-9442 |
| Maria G Hornung | Physical Therapy | Baptist Health Medical Group Inc | 2125 State St, New Albany, IN 47150-4972 |
| Alexandra Kay Dilger | Physical Therapy | Baptist Health Medical Group Inc | 7725 Hwy 62, Suite 300, Charlestown, IN 47111-9676 |
| Maryssa Jean Coyle | Nurse Practitioner | Baptist Health Medical Group Inc | 225 Industrial Park Rd, Dawson Springs, KY 42408-2423 |
| Lauren Audrey Puckett | Physician Assistant | Baptist Health Medical Group Inc | 131 Meadowlark Dr, Richmond, KY 40475-2235 |
| Angela N Gilbert | Nurse Practitioner | Baptist Health Medical Group Inc | 403 E Sycamore St, Williamsburg, KY 40769-1136 |
| Ian Blake Holbrook | Obstetrics/gynecology | Baptist Health Medical Group Inc | 793 Eastern Bypass, Suite 201, Richmond, KY 40475-2408 |
| Angela Jo Cain | Nurse Practitioner | Baptist Health Medical Group Inc | 602 Knox St, Barbourville, KY 40906-1304 |
| Street Address |
1019 COMMERCE PKWY |
| City | LA GRANGE |
| State | KY |
| Zip | 40031-8779 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barry Brian Sosnin Jr. | Family Medicine | Baptist Health Medical Group Inc | 1019 Commerce Pkwy, La Grange, KY 40031-8779 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lagenia K Wright | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Sandra L Savage | Emergency Medicine | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Troy W Kaiser | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Taylor Lee Snyders | Physician Assistant | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Dennis Mcgill | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Mary L Barresi | Internal Medicine | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Robert Hehre | Physician Assistant | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Mika L Bates | Nurse Practitioner | Physicians Medical Center LLC | 1006 New Moody Lane, Lagrange, KY 40031 |
| Lido Petrucci | Chiropractic | 301 S 1st St, Lagrange, KY 40031-1240 | |
| Laurence Preble | Chiropractic | 102 W Madison St, La Grange, KY 40031-1428 | |
| Find all physicians in zip 40031 | |||
| City | LA GRANGE |
| Zip Code | 40031 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LA GRANGE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Siraj U Siddiqi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.