Dr Howard Sheldon Siegel M.D. LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35024881S Issued in OH

Legal business name

DR HOWARD SHELDON SIEGEL M.D. LLC

Practice address

2322 E 22ND St
Suite 307
Cleveland, OH 44115-3176

Phone

(216) 241-1902

Fax

(216) 241-1908

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Howard Sheldon Siegel, M.D., LLC

Title

Owner

Phone

(216) 241-1902

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1659549822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4758 RIDGE RD # 161",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441443327",
            "telephone_number": "440-235-8484",
            "fax_number": "440-235-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E 22ND ST",
            "address_2": "SUITE 307",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153176",
            "telephone_number": "216-241-1902",
            "fax_number": "216-241-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HOWARD SHELDON SIEGEL M.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "SHELDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-241-1902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., LLC"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35024881S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8073463",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Cleveland, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.