Individual
DR. RICHARD E SIEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6005 PARK AVE, STE 624B, MEMPHIS, TN 38119-5221
(901) 682-1100
(901) 682-6915
Mailing address
PO BOX 1000 DEPT 448, MEMPHIS, TN 38148-0448
(901) 682-1100
(901) 682-6915
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13632
TN
207W00000X
Ophthalmology Physician
15012
MS
207W00000X
Ophthalmology Physician
N7179
AR
207WX0107X
Retina Specialist (Ophthalmology) Physician
13632
TN
207WX0107X
Retina Specialist (Ophthalmology) Physician
15012
MS
207WX0107X
Retina Specialist (Ophthalmology) Physician
N7179
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119412
—
MS
01
—
0053763
BLUE CROSS OF TENNESSEE
TN
05
—
107479001
—
AR
01
—
180030599
RAILROAD MEDICARE
TN
05
—
202044103
—
MO
05
—
3011132
—
TN
01
—
5M128
BLUE CROSS OF ARKANSAS
AR
01
—
P00777025
RAILROAD MEDICARE
AR
Enumeration date
06/17/2005
Last updated
04/26/2017
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