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

Jordan M Siewert, DO

Individual provider Family Medicine Physician · NPI 1730594359

Jordan M Siewert, DO is a Family Practice in Toledo, Ohio. Graduated from At Still Un of Hlth Sciences, Col of Osteo Med, Mesa in 2014, 12 years ago. Practices with Promedica Monroe Physicians, a 64-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Ohio.

Years since qualifying
12
Trained at
At Still Un of Hlth Sciences, Col of Osteo Med, Mesa
Licensed in
MI, OH
In the registry since
2014
Specialties on file
3
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

2100 W Central Ave #200
Toledo, OH 43606-3800
Phone: (419) 291-2051
Fax: (419) 479-6952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3175 Smith Rd, Lambertville, MI 48144-9434 — (734) 856-5494
  • 2150 W Central Ave, Toledo, OH 43606-3834 — (419) 291-8701

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 34012356 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5101025751 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730594359
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 23, 2014
Last updated in NPPESNovember 3, 2023
Certification dateAugust 26, 2020
Mailing address333 N Summit St Fl 7, Toledo, OH 43604-1531

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolAT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated 2014 (12 years in practice)
Group practice Promedica Monroe Physicians — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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