Sigal Heart Center, P.a.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SIGAL HEART CENTER, P.A.

Practice address

820 S Baxter Ave
Tyler, TX 75701-2225

Phone

(903) 592-6355

Fax

(903) 592-7680

NPI assigned

May 31, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Wayne Hudson

Title

Administrator

Phone

(903) 592-6355

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1992708291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S BAXTER AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012225",
            "telephone_number": "903-592-6355",
            "fax_number": "903-592-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S BAXTER AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012225",
            "telephone_number": "903-592-6355",
            "fax_number": "903-592-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGAL HEART CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-592-6355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149765301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0007HW",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DC6520",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Leigh Shuttlesworth, LMSW
• Hamza Siddiqui, DO
• Juwairriyyah Abdul Wahid Siddiqui, MD
• Zubair Pasha Siddiqui, M.D.
• Moises A Sidransky, M.D
• Barbara Jean Sigal, MD
• Robert Sigala, MD
• Sarah Johnson Siler, MS, CCC-SLP
• Kimberly Silva
• Mariely Silva

• Cardiovascular Disease Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Cardiovascular Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.