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JACK SIEBENALER II MD, INC
NPI 1255514873
Clinic/Center - Primary Care in Oregon, OH

Active since December 06, 2007
3232 NAVARRE AVE, OREGON, OH 43616(419) 691-0636(419) 693-1412 Get Directions Write a Review

NPPES record last updated: February 22, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack Siebenaler Ii Md, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK SIEBENALER II MD, INC (NPI 1255514873) is a healthcare organization registered as a primary care in Oregon, Ohio and active in the NPI registry since December 2007. The organization lists Jack G Siebenaler, Owner, as its authorized official.

NPPES Registry Identity

NPI1255514873
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJACK SIEBENALER II MD, INC
Location Address3232 NAVARRE AVEOregon, OH 43616-3312
Mailing Address3232 Navarre AveOregon, OH 43616-3312 · (419) 691-0636 · Fax (419) 693-1412
Phone(419) 691-0636
Fax(419) 693-1412
Organization SubpartNo
Authorized OfficialJack G SiebenalerOwner · (419) 691-0636
Enumeration DateDecember 6, 2007
Last NPPES UpdateFebruary 22, 2012
✔ NPI 1255514873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in OH · 350535801S
3232 NAVARRE AVE, Oregon, OH 43616
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Other Identifiers 3

Medicare UPIND32448OH
Medicare PINJA9229351
Medicaid0056057OH

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA L HANSEN NP-C
Nurse Practitioner (Family)
3232 NAVARRE AVE
OREGON, OH 43616
Lucas County (419) 691-0636
JUDITH A. SCHUESSLER CNP
Nurse Practitioner
3232 NAVARRE AVE
OREGON, OH 43616
Lucas County (419) 691-0636
HALLETT ENTERPRISES, LLC
Physical Therapist
3232 NAVARRE AVE
OREGON, OH 43616
Lucas County (419) 559-5591
JACK SIEBENALER II M.D.
Family Medicine
3232 NAVARRE AVE
OREGON, OH 43616
Lucas County (419) 691-0636

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Siebenaler II MD, Inc's NPI number?

The NPI number for Jack Siebenaler II MD, Inc is 1255514873. It was assigned to this organization in the NPPES registry on December 6, 2007.

Where is Jack Siebenaler II MD, Inc located?

Jack Siebenaler II MD, Inc is located at 3232 Navarre Ave, Oregon, OH 43616. The listed phone number is (419) 691-0636.

What is Jack Siebenaler II MD, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Jack Siebenaler II MD, Inc was last updated on February 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.