Awais A Siddiki (NPI# 1770743890, PAC ID# 7618145863) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1770743890 |
| PAC ID by PECOS | 7618145863 |
| Professional Enrollment ID | I20160906000315 |
| Full Name | Awais A Siddiki |
| Organization Legal Name | CLEAR PATH CENTER PA |
| Address |
2364 Main St Suite A Philomath OR 97370-9488 |
| Phone Number | 5413244594 |
| Gender | M |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 0345561346 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100180 | ST PETERSBURG GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2364 Main St, Suite A, Philomath, OR 97370-9488 | 5413244594 | CLEAR PATH CENTER PA |
| 2364 Main St, Philomath, OR 97370-9488 | 5413244594 | CLEAR PATH CENTER PA |
| 3177 4th N St, Saint Petersburg, FL 33704-2124 | 8775852955 | CLEAR PATH CENTER PA |
| Organization Legal Name | CLEAR PATH CENTER PA |
| Physicians | 1 |
| Street Address |
2364 MAIN ST SUITE A |
| City | PHILOMATH |
| State | OR |
| Zip | 97370-9488 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew D Halstead | Physical Therapy | Healing Motion Physical Therapy, Inc. | 732 Main St, Philomath, OR 97370-9725 |
| Abby J Hendryx | Physical Therapy | Healing Motion Physical Therapy, Inc. | 732 Main St, Philomath, OR 97370-9725 |
| Kersey Renae Schuh | Physical Therapy | Healing Motion Physical Therapy, Inc. | 732 Main St, Philomath, OR 97370-9725 |
| Ashlee Nicole Roderick | Physical Therapy | Healing Motion Physical Therapy, Inc. | 732 Main St, Philomath, OR 97370-9725 |
| Edith L Sperling | Physical Therapy | Healing Motion Physical Therapy, Inc. | 732 Main St, Philomath, OR 97370-9725 |
| Lisa Marie Koslicki | Physical Therapy | Healing Motion Physical Therapy, Inc. | 732 Main St, Philomath, OR 97370-9725 |
| Eileen Tokuda | Physical Therapy | Healing Motion Physical Therapy, Inc. | 732 Main St, Philomath, OR 97370-9725 |
| City | PHILOMATH |
| Zip Code | 97370 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | PHILOMATH + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Awais A Siddiki.
| 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.