Provider Demographics
NPI:1851467575
Name:SIVAK, JOSEPH JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JAMES
Last Name:SIVAK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 STATE ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-1832
Mailing Address - Country:US
Mailing Address - Phone:814-454-5686
Mailing Address - Fax:814-454-8946
Practice Address - Street 1:2910 STATE ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-1832
Practice Address - Country:US
Practice Address - Phone:814-454-5686
Practice Address - Fax:814-454-8946
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1178342084P0800X
PAMD4495332084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN471090000OtherMAGELLAN
FLME117834OtherFL MEDICAL LICENSE
WI34242600OtherBADGER CARE
MNP00025670OtherMEDICARE RR
MNF48102OtherHEALTH PARTNERS
FL116129000Medicaid
MN1568794OtherMEDICA
MN151653100Medicaid
MN160952OtherUCARE
MN538S9SIOtherBCBS MN
MN151653100Medicaid