Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Esra Siddeek, DO

Individual provider Neuromusculoskeletal Medicine & OMM Physician · NPI 1073184933

Dr. Esra Siddeek, DO is an Osteopathic Manipulative Medicine in Green Bay, Wisconsin. Qualified in 2021, 5 years ago. Practices with St Vincent Hospital-Hospital Sisters-Third Order of St Francis, a 594-clinician group and accepts Medicare assignment. Licensed in Missouri and Wisconsin.

Years since qualifying
5
Licensed in
MO, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1821 S Webster Ave
Green Bay, WI 54301-2253
Phone: (920) 496-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neuromusculoskeletal Medicine & OMM Physician (primary) Taxonomy 204D00000X · Licence 81874-21 (WI)
Neuromusculoskeletal Medicine & OMM Physician Taxonomy 204D00000X · Licence 2021021665 (MO)

Record details

NPI number1073184933
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 1, 2021
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOSTEOPATHIC MANIPULATIVE MEDICINE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Vincent Hospital-Hospital Sisters-Third Order Of St Francis — 594 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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