Provider Demographics
NPI:1366495129
Name:SIEVERT, FRANK A (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:A
Last Name:SIEVERT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:200 E BROADWAY AVENUE
Mailing Address - Street 2:UNIT 306 PRESERVATION PLAZA
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37804
Mailing Address - Country:US
Mailing Address - Phone:865-229-3709
Mailing Address - Fax:541-248-6067
Practice Address - Street 1:200 E BROADWAY AVENUE
Practice Address - Street 2:UNIT 306 PRESERVATION PLAZA
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37804
Practice Address - Country:US
Practice Address - Phone:865-229-3709
Practice Address - Fax:541-248-6067
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2025-07-23
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Provider Licenses
StateLicense IDTaxonomies
NY002039207Q00000X
TN63551207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR245623Medicaid
ORR 142989Medicare PIN
OR245623Medicaid