Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 35-063371 | OH |
N | 2080P0202X | Pediatric Cardiologist | MD.202909 | LA |
NPI | 1003838483 |
---|---|
Provider Name | Ernest S Siwik |
First Address | Toledo, OH 43608-2675 |
Second Address | Toledo, OH 43608-2675 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 15/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000028275 | ANTHEM (01) | OH |
000000217458 | UNISON (01) | OH |
000000526129 | ANTHEM (01) | OH |
0016456360001 | PA MEDICAID (01) | PA |
0857729 | (05) | OH |
364024 | WELLCARE (01) | OH |
653716 | AETNA (01) | OH |
735431 | BUCKEYE (01) | OH |
857729 | BCMH (01) | OH |
F31325 | (02) | OH |
P00131510 | RAILROAD (01) | OH |
P00432698 | RAILROAD MEDICARE (01) | OH |