John Edward Siegel, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

15179 Issued in NC

Practice address

1001 E. Fifth St.
East Carolina Univ.
Greenville, NC 27858

Phone

(252) 328-6841

Fax

(252) 328-4007

NPI assigned

Jan 4, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700933884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 SUSSEX ST APT A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344964",
            "telephone_number": "252-756-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E. FIFTH ST.",
            "address_2": "EAST CAROLINA UNIV.",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27858",
            "telephone_number": "252-328-6841",
            "fax_number": "252-328-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": "15179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Catherine Shum, M.D.
• Douglas Joseph Shusterman, MD
• Collins Yeboa Siakwan, MSW, LCAS
• Pamela Pancoast Sides, LPC
• Cameron Brinkley Bowen Siebor, LCMHCA
• Catherine Sierra
• Lidia Jane Signorella, DO
• Lisa Sigurdson, M.S. CCC-A
• Karen Silinsky
• Anasya Dowell Silver, LCMHC

• Sports Medicine (Family Medicine) Physician in Greenville, NC
• Providers in Greenville, NC by specialty
• Sports Medicine (Family Medicine) Physician in North Carolina

• 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.