Physician Compare National (NPI:1184699068)

HEALTHCARE PROVIDER: KARL W SIEBE MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1184699068
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0648310938
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091217000270
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SIEBE
	Individual professional last name
Provider First Name	KARL
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	INDIANA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	DERMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	116 LAKEVIEW DR
	Group Practice or individual's line 1 address
City	NOBLESVILLE
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	460601307
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3177737400
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y