Henry Siegelson

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

23109 Issued in GA

Practice address

3950 Austell Rd
Austell, GA 30106-1121

Phone

(770) 732-4000

NPI assigned

Sep 22, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Apollomd Group Services, LLC

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  Emergency Medicine

  NPD (past)
• Cartersville Emergency Physicians, LLC

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• Cherokee Emergency Services, LLC

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  • Atlanta, GA
  • NPI 1992754717
  NPD (past)
• Cobb Hospital, Inc

  dba Wellstar Cobb Hospital

  • General Acute Care Hospital
  • Austell, GA
  • NPI 1467420448
  NPD (past)
• Houston Emergency Physicians LLC

  • Emergency Medicine Physician
  • Warner Robins, GA
  • NPI 1558319947
  NPD (past)
• Parkway Anesthesia Consultants, PC

  • Certified Registered Nurse Anesthetist
  • Villa Rica, GA
  • NPI 1194887455
  NPD (past)
• Peachtree Emergency Physicians LLC

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1508039975
  NPD (past)
• South Fulton Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1821043787
  NPD (past)
• The Bortolazzo Group, LLC

  • Emergency Medicine Physician
  • Austell, GA
  • NPI 1801965082
  NPD (past)
• Trail Crossing Emergency Physicians LLC

  • Emergency Medicine Physician
  • Cartersville, GA
  • NPI 1164709937
  NPD (past)
• Apollomd Group Services LLC

  • Emergency Medicine Physician
  • Mount Pleasant, SC
  • NPI 1780839365
  NPD (past)
• Foley Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Foley, AL
  • NPI 1558660753
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1417056557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285831",
            "telephone_number": "770-874-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061121",
            "telephone_number": "770-732-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGELSON",
        "first_name": "HENRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "23109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afshin Shirinzadeh, D.C.
• Shree Yamuna Maharaniji,PC (Cobb Medical Clinic)
• Aseem Shrivastava, MD
• Paulomi Sahir Shroff, M.D.
• Yahya Khalid Siddiq, M.D.
• Harry Ellsworth Siegrist III, D.C, L.D.O.
• Robert Silverman, MD
• Carmen Nicole Simmons
• Gary S. Simon, M.D.
• Stuart J Simon, M.D.

• Emergency Medicine Physician in Austell, GA
• Providers in Austell, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.