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Dr. Thurmond Eric Siceloff

Foot Surgery Foot & Ankle Surgery Primary Podiatric Medicine

6341 Cook Ave
Clemmons , North Carolina 27012

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Image

Dr. Thurmond Eric Siceloff

Foot Surgery Foot & Ankle Surgery Primary Podiatric Medicine

6341 Cook Ave
Clemmons , North Carolina 27012

(336) 766-8486

Write a Review Save Call

Dr. Thurmond Eric Siceloff

Foot Surgery Foot & Ankle Surgery Primary Podiatric Medicine

6341 Cook Ave
Clemmons , North Carolina 27012

(336) 766-8486 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Primary Podiatric Medicine
  • Foot & Ankle Surgery
  • Foot Surgery

Languages spoken

  • English

Location

6341 Cook Ave Clemmons , North Carolina 27012

First Address

  • Dr. Thurmond Eric Siceloff
  • 6341 Cook Ave
  • Clemmons, NC
  • Zip : 27012-9379
  • Fax : (336) 766-8486
  • Phone : (336) 766-8400

Second Address

  • Dr. Thurmond Eric Siceloff
  • 6341 Cook Ave
  • Clemmons, NC
  • Zip : 27012
  • Fax : (336) 766-8486
  • Phone : (336) 766-4800

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FAQs


Where did Dr. Thurmond Eric Siceloff attend graduate school?

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Where did Dr. Thurmond Eric Siceloff do his residency?

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Where did Dr. Thurmond Eric Siceloff do his fellowship?

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Is Dr. Thurmond Eric Siceloff board certified?

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What type of doctor is Dr. Thurmond Eric Siceloff

Primary Podiatric Medicine

In what state does Dr. Thurmond Eric Siceloff practice in?

North Carolina

Where is Dr. Thurmond Eric Siceloff ’s practice located?

6341 Cook Ave , Clemmons, North Carolina, 27012

What is Dr. Thurmond Eric Siceloff ’s gender?

Male

Is Dr. Thurmond Eric Siceloff a sole practitioner?

No

Is Dr. Thurmond Eric Siceloff accepting new patients?

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What languages does Dr. Thurmond Eric Siceloff speak?

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Does Dr. Thurmond Eric Siceloff accept insurance?

Yes, Dr. Thurmond Eric Siceloff accepts insurance

Does Dr. Thurmond Eric Siceloff offers telemedicine?

Dr. Thurmond Eric Siceloff has not indicated if he offers telemedicine

What is Dr. Thurmond Eric Siceloff ’s professional license number?

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What is Dr. Thurmond Eric Siceloff ’s NPI number?

1164425013

Does Dr. Thurmond Eric Siceloff have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 213EP1101X Primary Podiatric Medicine 388 NC
N 213ES0103X Foot & Ankle Surgery 388 NC
N 213ES0131X Foot Surgery 388 NC

National Provider Identifier

NPI 1164425013
Provider Name Dr. Thurmond Eric Siceloff
First Address Clemmons, NC 27012-9379
Second Address Clemmons, NC 27012
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 24/05/2005
Last Update Date 15/06/2018

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
1164425013 (05) NC
7908019 (05) NC
NCH360B699 MEDICARE (01) NC
P01909015 RAILROAD MEDICARE (01) NC
U66587 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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