Active NPI
Mark J Segal, MD
- Anesthesiology Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 19043
- Practice address
- 125 Doughty St
Ste 420
Charleston, SC 29403 - Phone
- (843) 723-3441
- Fax
- (843) 805-4040
- NPI assigned
- Jun 7, 2006
- Last updated
- Jul 22, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 19043 | SC | Primary |
Addresses
Primary practice location
125 Doughty St
Ste 420
Charleston, SC 29403
Mailing address
125 Doughty St
Ste 420
Charleston, SC 29403-5741
Phone (843) 723-3441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190439 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Arizona College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1849 Savage Rd
Charleston, SC 29407-4726
Phone (843) 576-2600
2683 Lake Park Dr
N Charleston, SC 29406-9100
Phone (843) 518-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19043 | SC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark J Segal MD LLC | Current | Accepting new patients | |
| Anesthesia Associates of Charleston, P.a. | Anesthesiology | Current | Accepting new patients |
| Anesthesia Services of Charleston | Anesthesiology | Current | Accepting new patients |
| Lowcountry Plastic Surgery Center LLC | Current | Accepting new patients | |
| Anesthesia Associates of Charleston, P.a. | Past | Accepting new patients |
Locations
1064 Gardner Rd
Ste 112
Charleston, SC 29407
Phone (843) 723-3441
125 Doughty St
Ste 420
Charleston, SC 29403
Phone (843) 723-3441
1849 Savage Rd
Charleston, SC 29407
Phone (843) 576-2600
2097 Henry Tecklenburg Dr
Ste 212W
Charleston, SC 29414
Phone (843) 284-8532
1205 Two Island Ct
Unit 203
Mt Pleasant, SC 29466
Phone (843) 971-2860
2683 Lake Park Dr
North Charleston, SC 29406
Phone (843) 518-5000
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1730258997
-
- Specialist
- Charleston, SC
- NPI 1073066932
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1396776670
-
- Plastic Surgery Physician
- Mount Pleasant, SC
- NPI 1942368279
-
- Non-Pharmacy Dispensing Site
- Mount Pleasant, SC
- NPI 1629693668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1396785267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 DOUGHTY ST",
"address_2": "STE 420",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294035741",
"telephone_number": "843-723-3441",
"fax_number": "843-805-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 DOUGHTY ST",
"address_2": "STE 420",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29403",
"telephone_number": "843-723-3441",
"fax_number": "843-805-4040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAL",
"first_name": "MARK",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "19043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "190439",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.