Individual provider Active NPI

William R Siegart, DO

  • Emergency Medicine Physician
  • Exeter, NH
National Provider Identifier
1174698419
Registry record updated May 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9436 Issued in NH
Practice address
5 Alumni Dr
Exeter, NH 03833-2128
Phone
(603) 580-6793
Fax
(603) 580-7006
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9436 NH Primary

Addresses

Primary practice location

5 Alumni Dr
Exeter, NH 03833-2128

Mailing address

380 Lafayette Rd
Hampton, NH 03842-2222
Phone (603) 926-0088

Other identifiers 7

IdentifierTypeStateIssuer
000000042890OtherBMC HEALTHNET PLAN
0162108MedicaidMA
930114660OtherRAILROAD MEDICARE
AA17419OtherHARVARD PILGRIM
30221919MedicaidNH
0401088Y0NH01OtherNHANTHEM
299790099MedicaidNH

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
9436MAMDClinical Neuropsychologist
9436NHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Physicians of Derry PLLC Past Accepting new patients
Emergency Physicians of Derry PLLC Past Accepting new patients
Exeter Emergency Physicians PA PastSince Jan 1, 2013 Accepting new patients

Organizations & group practices 3

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209859200000",
    "number": "1174698419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 LAFAYETTE RD",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038422222",
            "telephone_number": "603-926-0088",
            "fax_number": "603-926-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ALUMNI DR",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332128",
            "telephone_number": "603-580-6793",
            "fax_number": "603-580-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGART",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "9436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "000000042890",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162108",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930114660",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA17419",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30221919",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0401088Y0NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299790099",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2008; 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.