Jacqueline Siegel-Bartelt, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

37842 Issued in AZ

Practice address

124 W Thomas Rd
Phoenix, AZ 85013-4405

Phone

(602) 406-5477

Fax

(602) 798-9988

NPI assigned

Feb 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1073791992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 PIER AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904054557",
            "telephone_number": "310-383-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134405",
            "telephone_number": "602-406-5477",
            "fax_number": "602-798-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL-BARTELT",
        "first_name": "JACQUELINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "AZ",
            "license": "37842",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "37842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Sidlinger, CRNA
• Shavanya Sidney, M.S.PSY, BCPA
• Brian T Sidoti, MD
• Eugene John Sidoti Jr., M.D.
• Lisa Michelle Sieczkowski, M.D.
• Jeff Siegel
• Mark Phillips Siegel, D.O.
• Marvin Sanford Siegel, DO
• Mickela Siegel, NNP
• Nona A Siegel, NP

• Pediatrics Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.