Fred S Siegel, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

025665 Issued in CT

Practice address

540 Saybrook Rd
Middletown, CT 06457-4711

Phone

(860) 347-7491

Fax

(860) 346-2118

NPI assigned

Sep 11, 2006

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

Other identifiers 1

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1740384924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574711",
            "telephone_number": "860-347-7491",
            "fax_number": "860-346-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 SAYBROOK RD",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574711",
            "telephone_number": "860-347-7491",
            "fax_number": "860-346-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "FRED",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CT",
            "license": "025665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001256650",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Shulman, LMFT
• Ian Shulman
• Cori Shurack, LPC
• Catherine Lim Siazon-Leviste, MD
• John F Sidoli, LPC
• Timothy Charles Siegrist, M.D.
• Benjamin Michiel Sigal, MD
• Christine Signore, MD
• Ayibatari Sikpi, MD
• Allen B Silberstein, MD

• Obstetrics & Gynecology Physician in Middletown, CT
• Providers in Middletown, CT by specialty
• Obstetrics & Gynecology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.

Verify at the official NPI Registry.