Healthcare Provider Details

I. General information

NPI: 1134445356
Provider Name (Legal Business Name): HILLARIE SIZEMORE AMBURGEY DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HILLARIE LINN SIZEMORE DPM

II. Dates (important events)

Enumeration Date: 04/13/2010
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 MICHIGAN ST
SIDNEY OH
45365-2404
US

IV. Provider business mailing address

1000 MICHIGAN ST
SIDNEY OH
45365-2404
US

V. Phone/Fax

Practice location:
  • Phone: 937-493-4659
  • Fax:
Mailing address:
  • Phone: 937-493-4659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number36003574
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number00340
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: