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

Individual provider Physician Assistant · NPI 1093161069

Mr. Drew Siebenmorgen, PA-C is a Physician Assistant in Little Rock, Arkansas. Qualified in 2015, 11 years ago. Practices with Oak Street Health Physicians Group of Arkansas PLLC, a 9-clinician group and works from 2 locations. Licensed in Arkansas.

Years since qualifying
11
Licensed in
AR
In the registry since
2016
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

5500 W 12th St
Little Rock, AR 72204-1716
Phone: (501) 435-1402
Fax: (501) 232-4210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1300 Braden St, Jacksonville, AR 72076-3719 — (501) 985-5934

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-669 (AR)

Record details

NPI number1093161069
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 10, 2016
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Oak Street Health Physicians Group Of Arkansas Pllc — 9 clinicians
Accepts Medicare assignment Not indicated

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