Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marie Koenig Siddle, PA-C

Individual provider Physician Assistant · NPI 1891199311

Marie Koenig Siddle, PA-C is a Physician Assistant in Pickerington, Ohio. Qualified in 2014, 12 years ago. Practices with Ohio Heart Group, Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
12
Licensed in
OH
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1030 Refugee Rd Ste 280
Pickerington, OH 43147-0019
Phone: (614) 788-4390
Fax: (614) 788-4399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 004108 (OH)

Record details

NPI number1891199311
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 13, 2014
Last updated in NPPESAugust 4, 2024
Certification dateAugust 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ohio Heart Group, Inc. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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