Individual provider Active NPI

Steve A Siegler, MD

  • Family Medicine Physician
  • Arlington, TX
National Provider Identifier
1366439739
Registry record updated Jun 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L5910 Issued in TX
Practice address
3215 Omega Dr
Arlington, TX 76014-2006
Phone
(817) 467-7193
Fax
(817) 468-4775
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L5910 TX Primary

Addresses

Primary practice location

3215 Omega Dr
Arlington, TX 76014-2006

Mailing address

3215 Omega Dr
Arlington, TX 76014-2006
Phone (817) 467-7193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090115000169 TX Practitioner - Family Practice 6800959941 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L5910TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Physicians, PLLC Family Medicine CurrentSince Aug 15, 2012 Accepting new patients
Springfield Medical Associates Family Medicine Past Accepting new patients

Locations

4222 Wendover Ave
Ste 600
Odessa, TX 79762
Phone (432) 522-5656

1220 W University Blvd
Odessa, TX 79764
Phone (432) 332-6600

Organizations & group practices 2

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1366439739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 OMEGA DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142006",
            "telephone_number": "817-467-7193",
            "fax_number": "817-468-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 OMEGA DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760142006",
            "telephone_number": "817-467-7193",
            "fax_number": "817-468-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGLER",
        "first_name": "STEVE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L5910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.