Jeffrey Siegel, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

C0054 Issued in KY

Practice address

617 23Rd St Ste 6
Ashland, KY 41101-2845

Phone

(606) 408-2820

Fax

(606) 326-0235

NPI assigned

Jul 5, 2006

Last updated

Jul 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY, WY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jsiegel75796@direct.kdhealth.us

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.

• Kings Daughters Medical Specialties Inc

  dba Kings Daughters Medical Specialities Physical Medicine and Rehab

  • Physical Medicine & Rehabilitation Physician
  • Prestonsburg, KY
  • NPI 1710215736
  Medicare reassignment NPD
• Memorial Hospital of Sweetwater County

  dba County of Sweetwater

  • Critical Access Hospital
  • Rock Springs, WY
  • NPI 1558361949
  Medicare reassignment NPD
• Kings Daughters Medcial Specialties Inc

  • Hematology & Oncology Physician
  • Ashland, KY
  • NPI 1174967871
  NPD
• Kings Daughters Medical Specialties Inc

  dba Kings Daughters Medical Specialties Tri State Regional Cancer Center

  • Radiation Oncology Physician
  • Ashland, KY
  • NPI 1699565176
  NPD
• Memorial Hospital of Sweetwater County

  dba County of Sweetwater

  • Internal Medicine Physician
  • Rock Springs, WY
  • NPI 1437312436
  NPD
• Banner Greeley Specialists

  • Multi-Specialty Clinic/Center
  • Greeley, CO
  • NPI 1558595611
  NPD (past)
• East Carolina Psychiatric Consultants,PLLC

  • Psychiatry Physician
  • Goldsboro, NC
  • NPI 1891997334
  NPD (past)
• Novant Health Rowan Medical Center LLC

  dba Novant Health Rowan Medical Center

  • General Acute Care Hospital
  • Salisbury, NC
  • NPI 1508843566
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1952332132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BLAKE AVE STE 204",
            "city": "GLENWOOD SPGS",
            "state": "CO",
            "postal_code": "816014261",
            "telephone_number": "970-384-7144",
            "fax_number": "970-384-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 23RD ST STE 6",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012845",
            "telephone_number": "606-408-2820",
            "fax_number": "606-326-0235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 Blake Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Glenwood Spgs",
            "state": "CO",
            "postal_code": "816014261",
            "country_code": "US",
            "telephone_number": "970-384-7144",
            "fax_number": "970-384-8115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1180 College Dr",
            "address_purpose": "LOCATION",
            "city": "Rock Springs",
            "state": "WY",
            "postal_code": "829015863",
            "country_code": "US",
            "telephone_number": "307-362-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 College Dr",
            "address_purpose": "LOCATION",
            "city": "Rock Springs",
            "state": "WY",
            "postal_code": "829015868",
            "country_code": "US",
            "telephone_number": "307-362-3711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "30428",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "9401492",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WY",
            "license": "TL8273",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "C0054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "142AG",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Craig Shumaker, PSS
• Erica Rochelle Shumway, APRN, FNP-C
• Katlynn Shumway
• Kelli Shytle
• Tina M Sias, MD
• Amy Beth Sieweke, APRN
• Nancy Lynn Simmons, LCSW
• Cassandra Dawn Simpson, LPCC
• Marisa Sims, PSS
• Kelly M Sincavage, MS, NCC, LPCA

• Neurology Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Neurology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.