Marvin D. Siegel, M.D., P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MS023222 Issued in MI

Legal business name

MARVIN D. SIEGEL, M.D., P.C.

Practice address

1095 W Huron St
Waterford, MI 48328-3735

Phone

(248) 682-9611

Fax

(248) 682-6051

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael T. Siegel, M.D.NPI 1104915875

Title

Physician

Phone

(248) 682-9611

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Tobin Siegel, MD

  • Dermatology Physician
  • Waterford, MI
  • NPI 1104915875
  Medicare reassignment NPD Authorized official
• Ali Meslemani, M.D.

  • Surgery Physician
  • Livonia, MI
  • NPI 1518161215
  NPD

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1932248317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283735",
            "telephone_number": "248-682-9611",
            "fax_number": "248-682-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283735",
            "telephone_number": "248-682-9611",
            "fax_number": "248-682-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN D. SIEGEL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-682-9611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "MS023222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007570",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronda Marshall, D.C.
• Martin Hart, M.D., P.C.
• Madison Rae Martin, RN, MSN
• Timothy Joseph Martin, LLPC
• Shannon Eileen Marttila, BS, CADCM, CCSM
• Marvin S. Taylor DDS PC
• Mary Ann Harchick DDS PC
• Mary Lou Spitz MD
• Mastercare Physical Therapy and Wellness Center LLC
• Emily A Mastick, LLMSW

• Dermatology Physician in Waterford, MI
• Providers in Waterford, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.