Active NPI
Fred Harris Siegel, M.D.
- Specialist
- Chesapeake, VA
National Provider Identifier
1477560902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101035451
- Practice address
- 700 Battlefield Blvd N Ste a
Chesapeake, VA 23320-4952 - Phone
- (757) 547-2115
- Fax
- (757) 547-8644
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 0101035451 | VA | Primary |
Addresses
Primary practice location
700 Battlefield Blvd N Ste a
Chesapeake, VA 23320-4952
Mailing address
700 Battlefield Blvd N Ste a
Chesapeake, VA 23320-4952
Phone (757) 547-2115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120109000271 | VA | Practitioner - Plastic and Reconstructive Surgery | 0042486391 | Practice locations: Chesapeake, VA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477560902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 BATTLEFIELD BLVD N STE A",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204952",
"telephone_number": "757-547-2115",
"fax_number": "757-547-8644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 BATTLEFIELD BLVD N STE A",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204952",
"telephone_number": "757-547-2115",
"fax_number": "757-547-8644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "FRED",
"middle_name": "HARRIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101035451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.