Mark J Segal MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

19043 Issued in SC

Legal business name

MARK J SEGAL MD LLC

Practice address

2097 Henry Tecklenburg Dr
Suite 212W
Charleston, SC 29414-5740

Phone

(843) 284-8532

Fax

(888) 397-0276

NPI assigned

Jul 27, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mark J Segal, MDNPI 1396785267

Title

Owner

Phone

(843) 284-8532

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark J Segal, MD

  • Anesthesiology Physician
  • Charleston, SC
  • NPI 1396785267
  Medicare reassignment NPD Authorized official
• Matthew Bryan Baker, M.D.

  • Plastic Surgery Physician
  • Mount Pleasant, SC
  • NPI 1275540692
  NPD
• Harley Moit, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Mount Pleasant, SC
  • NPI 1700237187
  NPD
• Eric Joseph Wenzinger

  • Plastic Surgery Physician
  • Charleston, SC
  • NPI 1447754155
  NPD
• Brian Glenn Widenhouse, M.D.

  • Plastic and Reconstructive Surgery Physician
  • North Charleston, SC
  • NPI 1265481543
  NPD
• April Garris Buckingham, PA-C

  • Medical Physician Assistant
  • North Charleston, SC
  • NPI 1134251952
  NPD (past)
• Richard Crill, MD

  • Emergency Medicine Physician
  • Port Huron, MI
  • NPI 1033259361
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1073066932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FOREST TRAIL CT 2",
            "city": "ISLE OF PALMS",
            "state": "SC",
            "postal_code": "294512515",
            "telephone_number": "843-284-8532",
            "fax_number": "888-397-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 HENRY TECKLENBURG DR",
            "address_2": "SUITE 212W",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145740",
            "telephone_number": "843-284-8532",
            "fax_number": "888-397-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J SEGAL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-284-8532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "19043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn's Care Medical Transportation, LLC
• Kaci Marini
• Corrin C Marinko, MSW
• Joseph N Marino, DO
• Mark F. Yampolsky, DDS, Ms Dba Carolina Periodontics
• Mark P. Rollins MD of South Carolina PC (Corner Care Clinic)
• Dale Eugene Marko, MD, PHD
• Toby W Markowitz, RN
• Benjamin Marks, LCSW
• Tori Marks, PA-C

• Specialist in Charleston, SC
• Providers in Charleston, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.