Organization Active NPI

Richard Lawrence Siegel, M.D., P.a.

  • Allergy & Immunology Physician
  • Tampa, FL
National Provider Identifier
1255639886
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME37894 Issued in FL
Legal business name
RICHARD LAWRENCE SIEGEL, M.D., P.A.
Practice address
3450 East Fletcher Avenue
Suite 210
Tampa, FL 33613-4655
Phone
(813) 972-3131
Fax
(613) 972-0773
NPI assigned
Mar 7, 2011
Last updated
Jun 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Dr. Richard Lawrence Siegel, M.D., PH.D.NPI 1770518938
Title
Owner/President
Phone
(813) 972-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME37894 FL Primary

Addresses

Primary practice location

3450 East Fletcher Avenue
Suite 210
Tampa, FL 33613-4655

Mailing address

3450 East Fletcher Avenue
Suite 210
Tampa, FL 33613-4655
Phone (813) 972-3131

Other identifiers 1

IdentifierTypeStateIssuer
065518000MedicaidFL

National Provider Directory

National Provider Directory

Locations

17407 Bridge Hill Ct
Ste B
Tampa, FL 33647
Phone (813) 972-3131

3450 E Fletcher Ave
Ste 210
Tampa, FL 33613
Phone (813) 972-3131

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1255639886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 EAST FLETCHER AVENUE",
            "address_2": "SUITE 210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134655",
            "telephone_number": "813-972-3131",
            "fax_number": "613-972-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 EAST FLETCHER AVENUE",
            "address_2": "SUITE 210",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134655",
            "telephone_number": "813-972-3131",
            "fax_number": "613-972-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD LAWRENCE SIEGEL, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "813-972-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME37894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065518000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.