Mark Phillips Siegel, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2479 Issued in AZ

Practice address

1820 W Maryland Ave
Suite 5
Phoenix, AZ 85015

Phone

(602) 242-4100

Fax

(602) 242-7965

NPI assigned

Jun 21, 2006

Last updated

Mar 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in AZ

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

Specialty

Family PracticeAlso: General Practice

Education

College of Osteo Med of the Pacific at Pomona, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.p.siegel@saimcil-az.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/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.

• Southwest Accident & Injury Medical Center ,II LTD

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1942307921
  Medicare reassignment NPD Authorized official
• Chandler Accident and Injury Medical Centers

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1215033873
  Authorized official Same address or phone
• Surgical Specialty Hospital of Arizona, LLC

  dba The Core Institute Specialty Hospital

  • Special Hospital
  • Phoenix, AZ
  • NPI 1902881295
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1487690046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W MARYLAND AVE",
            "address_2": "SUITE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85015",
            "telephone_number": "602-242-4100",
            "fax_number": "602-242-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W MARYLAND AVE",
            "address_2": "SUITE 5",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85015",
            "telephone_number": "602-242-4100",
            "fax_number": "602-242-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "MARK",
        "middle_name": "PHILLIPS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "2479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian T Sidoti, MD
• Eugene John Sidoti Jr., M.D.
• Lisa Michelle Sieczkowski, M.D.
• Jacqueline Siegel-Bartelt, M.D.
• Jeff Siegel
• Marvin Sanford Siegel, DO
• Mickela Siegel, NNP
• Nona A Siegel, NP
• Steven Mark Siegelman, M.S. CCC-SLP
• Kayla Siegfried, MS, BCBA

• Family Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.

Verify at the official NPI Registry.