Jack Siebenaler II MD, Inc
Jack Siebenaler II MD, Inc is a healthcare organization registered as Primary Care Clinic/Center in Oregon, OH, holding Type 2 (organization) NPI 1255514873 since 2007. The authorized official on file is Jack Siebenaler, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255514873 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jack Siebenaler II MD, Inc |
| Practice address | 3232 NAVARRE AVE, Oregon, OH, 43616 |
| Phone | 4196910636 |
| Fax | 4196931412 |
| Enumeration date | 2007-12-06 |
| Last updated in NPPES | 2012-02-22 |
Authorized official
| Name | Jack Siebenaler |
|---|---|
| Title | Owner |
| Phone | 4196910636 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Primary | 350535801S | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0056057 | Medicaid | OH | — |
Copy-ready billing details
Provider: Jack Siebenaler II MD, Inc NPI: 1255514873 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 3232 NAVARRE AVE, Oregon, OH, 43616
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1982670212 | Jack Siebenaler | Individual | Family Medicine Physician | Oregon, OH |
| 1083852719 | Debra Hansen | Individual | Family Nurse Practitioner | Oregon, OH |
| 1275842700 | Judith Schuessler | Individual | Nurse Practitioner | Oregon, OH |
| 1861743924 | Hallett Enterprises, LLC | Organization | Physical Therapist | Oregon, OH |
Verify this record
Cross-check NPI 1255514873 against the authoritative CMS record: view Jack Siebenaler II MD, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Jack Siebenaler II MD, Inc?
What is the NPI number for Jack Siebenaler II MD, Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-02-22.