Provider Demographics
NPI:1285769414
Name:STUART SIBEL DPM & LEE E FIRESTONE DPM PC
Entity type:Organization
Organization Name:STUART SIBEL DPM & LEE E FIRESTONE DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:SIBEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:202-223-4616
Mailing Address - Street 1:2021 K ST NW
Mailing Address - Street 2:520
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1003
Mailing Address - Country:US
Mailing Address - Phone:202-223-4616
Mailing Address - Fax:202-223-0740
Practice Address - Street 1:2021 K ST NW
Practice Address - Street 2:520
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1003
Practice Address - Country:US
Practice Address - Phone:202-223-4616
Practice Address - Fax:202-223-0740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPO423213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC037039100Medicaid
DC027420300Medicaid
DC027419600Medicaid
CH2741OtherRETIRED RAILROAD GROUP NUMBER
1659370641Medicare PIN
000Y95S04Medicare PIN
T30947Medicare UPIN
G00404Medicare PIN
1356349575Medicare PIN
480030306Medicare PIN
CH2741OtherRETIRED RAILROAD GROUP NUMBER
DC037039100Medicaid
V05288Medicare UPIN
U50664Medicare UPIN
4042710001Medicare NSC
000Y96S04Medicare PIN