Individual provider Active NPI

Mark J Sigman, MD

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1073510608
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME109698 Issued in FL
Practice address
844 N Thornton Ave
Orlando, FL 32803-4003
Phone
(407) 398-6470
Fax
(407) 894-6872
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD073400L PA
Pediatrics Physician 208000000X ME109698 FL Primary

Addresses

Primary practice location

844 N Thornton Ave
Orlando, FL 32803-4003

Mailing address

844 North Thornton Avenue
Orlando, FL 32803-4003
Phone (407) 398-6470

Other identifiers 2

IdentifierTypeStateIssuer
006551200MedicaidFL
0019498920001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME109698FLMDPediatrics Physician
MD073400LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Night Lite Pediatric Center, LLC Pediatrics Past Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics PastSince Dec 21, 2021 Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics PastSince Dec 21, 2021 Accepting new patients
Pediatrics of Nepa, PC Pediatrics PastSince Nov 29, 2010 Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics PastSince Dec 21, 2021 Accepting new patients
Night Lite Pediatric Center, LLC Pediatrics PastSince Dec 21, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: msigman@f0b29e02.micromddirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1073510608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 NORTH THORNTON AVENUE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034003",
            "telephone_number": "407-398-6470",
            "fax_number": "407-894-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N THORNTON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034003",
            "telephone_number": "407-398-6470",
            "fax_number": "407-894-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGMAN",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD073400L",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME109698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006551200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019498920001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.