Individual provider Active NPI

Charles J Siegel, M.D.

  • Specialist
  • Gladstone, MO
National Provider Identifier
1346208238
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R9645 Issued in MO
Practice address
6000 N Oak Trfy
102
Gladstone, MO 64118-5165
Phone
(816) 453-7771
Fax
(816) 452-7980
NPI assigned
May 2, 2006
Last updated
Nov 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X R9645 MO Primary

Addresses

Primary practice location

6000 N Oak Trfy
102
Gladstone, MO 64118-5165

Mailing address

6000 N Oak Trfy
Suite 102
Gladstone, MO 64118-5165
Phone (816) 453-7771

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

LicenseStateTypeSpecialty
R9645MOMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Haroon Khalid MD PC PastSince Feb 1, 2003 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1346208238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 N OAK TRFY",
            "address_2": "SUITE 102",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641185165",
            "telephone_number": "816-453-7771",
            "fax_number": "816-452-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 N OAK TRFY",
            "address_2": "102",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641185165",
            "telephone_number": "816-453-7771",
            "fax_number": "816-452-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "R9645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.