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1245288208

NPI Code Detail

MEDICARE: STEVE A SIVERD CPO

MEDICARE: STEVE A SIVERD CPO

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	224P00000X	Prosthetist
2	222Z00000X	Orthotist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	434534	OTHER	VA	BC BS
2	194379	OTHER	VA	ANTHEM BCBS
3	1029129	OTHER	VA	ACM
4	542040443	OTHER	VA	TRICARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	39563	OTHER	VA	SENTARA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245288208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVE A SIVERD CPO

Provider Business Mailing Address
First Line	:	433 NETWORK STA
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-3851
Country	:	US
Telephone Number	:	757-892-5300
Fax Number	:	757-892-5303

Provider Business Practice Location Address
First Line	:	433 NETWORK STA
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-3851
Country	:	US
Telephone Number	:	757-892-5300
Fax Number	:	757-892-5303

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

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/18/2022

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Directions to “ STEVE A SIVERD CPO” Practice Location

Language	Start Address	Practice Location

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