George J. Siegel, MD

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

036-094187 Issued in IL

Practice address

Neurology Service (127)
BLD 1 RM F201 Edward Hines Jr, VA Hospital
Hines, IL 60141-5000

Phone

(708) 202-2726

Fax

(708) 202-7936

NPI assigned

Oct 2, 2006

Last updated

Jul 8, 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

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.

• Independence Neurosurgery Services LLC

  dba Midwest Brain and Spine Associates

  • Neurological Surgery Physician
  • Independence, MO
  • NPI 1316993694
  NPD (past)
• Saint Mary's Health Services

  dba Mercy Health Saint Mary's

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1639111057
  NPD (past)
• Trinity Health - Michigan

  dba Heartside Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Grand Rapids, MI
  • NPI 1902002272
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669565297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NEUROLOGY SERVICE (127)",
            "address_2": "BLD 1 RM F201 EDWARD HINES JR, VA HOSPITAL",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601415000",
            "telephone_number": "708-202-2726",
            "fax_number": "708-202-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NEUROLOGY SERVICE (127)",
            "address_2": "BLD 1 RM F201 EDWARD HINES JR, VA HOSPITAL",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601415000",
            "telephone_number": "708-202-2726",
            "fax_number": "708-202-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "GEORGE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "036-094187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Wayne Shively, BS PHARMACY
• Alexandra Shubat
• Joseph Siby
• Diana Rachel Sibychan, RN
• Leah J Sidkey, RD
• Edith M Siemianowski, MT(ASCP)
• Alezondria Maria Sikes, R.KT
• Robert Silverman, PHARM.D.
• Anu Simon, APN
• Randy G Simons, OTR/L

• General Acute Care Hospital in Hines, IL
• Providers in Hines, IL by specialty
• General Acute Care Hospital in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.