MEDICARE: DR. GREGORY W SIEWNY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	35049923	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	160009443	OTHER	OH	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	641361	OTHER	OH	AETNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	311236707	OTHER	OH	FHP HEALTH PLAN
4	4992306	OTHER	OH	CHOICE CARE
5	0720009	OTHER	OH	UHC
6	0720009	OTHER	OH	JF MOLLOY
7	000000275779	OTHER	OH	ANTHEM
9	5845285001	OTHER	OH	CIGNA

General Provider Information

NPI Number	:	1891791216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY W SIEWNY MD

Provider Business Mailing Address
First Line	:	200 MEDICAL CENTER DR
Second Line	:	SUITE 160
City	:	FRANKLIN
State	:	OH
Zip	:	45005-5200
Country	:	US
Telephone Number	:	513-424-1440
Fax Number	:	513-424-1422

Provider Business Practice Location Address
First Line	:	200 MEDICAL CENTER DR
Second Line	:	SUITE 160
City	:	FRANKLIN
State	:	OH
Zip	:	45005-5200
Country	:	US
Telephone Number	:	513-424-1440
Fax Number	:	513-424-1422

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	04/24/2015

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Directions to “ DR. GREGORY W SIEWNY MD” Practice Location

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