Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | 35-076790 | OH |
Y | 208200000X | Surgeon | 35-076790 | OH |
Y | 208600000X | Surgeon | 35-076790 | OH |
NPI | 1336169044 |
---|---|
Provider Name | Christopher T Siegel |
First Address | Cleveland, OH 44124 |
Second Address | Cleveland, OH 44124-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 14/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000221082 | UNISON (01) | OH |
000000503726 | ANTHEM (01) | |
2130732 | (05) | OH |
2130732 | BCMH (01) | OH |
364012 | WELLCARE (01) | OH |
738100 | BUCKEYE (01) | OH |
7461008 | AETNA (01) | |
H00978 | (02) | |
P00235804 | RAILROAD MEDICARE (01) | OH |
P00372966 | RAILROAD MEDICARE (01) | OH |