Active NPI
Mark Siegel, MD
- Emergency Medicine Physician
- Daphne, AL
National Provider Identifier
1487759114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 13948
- Practice address
- 29710 Urgent Care Dr
Daphne, AL 36526-9595 - Phone
- (251) 626-3782
- Fax
- (251) 626-0787
- NPI assigned
- Sep 14, 2006
- Last updated
- Oct 29, 2012
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 13948 | AL | Primary |
Addresses
Primary practice location
29710 Urgent Care Dr
Daphne, AL 36526-9595
Mailing address
29710 Urgent Care Dr
Daphne, AL 36526-9595
Phone (251) 626-3782
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51084760 | Other | AL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13948 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351468800000",
"number": "1487759114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29710 URGENT CARE DR",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365269595",
"telephone_number": "251-626-3782",
"fax_number": "251-626-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29710 URGENT CARE DR",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365269595",
"telephone_number": "251-626-3782",
"fax_number": "251-626-0787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2012-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "13948",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51084760",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.