Active NPI
William Siegel, MD
- Hematology & Oncology Physician
- Salt Lake City, UT
National Provider Identifier
1164512216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 026921L
- Practice address
- 4021 S 700 E
Suite 300
Salt Lake City, UT 84107-2192 - Phone
- (800) 453-3030
- NPI assigned
- Oct 12, 2006
- Reactivated
- Mar 6, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 026921L | PA | Primary |
Addresses
Primary practice location
4021 S 700 E
Suite 300
Salt Lake City, UT 84107-2192
Mailing address
413 Norwick Place
Blue Bell, PA 19442
Phone (215) 699-1934
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026921L | PA | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520294400000",
"number": "1164512216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 NORWICK PLACE",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "19442",
"telephone_number": "215-699-1934",
"fax_number": "215-699-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4021 S 700 E",
"address_2": "SUITE 300",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841072192",
"telephone_number": "800-453-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2018-03-06",
"deactivation_date": "2018-02-09",
"reactivation_date": "2018-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PA",
"license": "026921L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.