MITCHELL J SIEGAN (NPI# 1265486336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265486336 |
| Entity Type | Individual |
| Full Name | MITCHELL J SIEGAN |
| Credential | MD |
| Practice Address |
2095 Henry Tecklenburg Dr Charleston SC 29414-5733 |
| Mailing Address |
70 Dalton St Charleston SC 29492-7959 |
| Practice Telephone | 8434021000 |
| Mailing Telephone | 8434021000 |
| Enumeration Date | 2006-05-21 |
| Last Update Date | 2016-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 21770 | SC | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
21770 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BS6279598 | 01 | |
| SC | T59503 | 05 |
| Street Address |
2095 HENRY TECKLENBURG DR |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629077052 | Adam Mandel | Emergency Medicine | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2005-07-19 |
| 1083225296 | Christopher John Kopeck | Nurse Anesthetist, Certified Registered | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2020-08-11 |
| 1508483298 | Celia Wright | Registered Nurse | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2020-06-29 |
| 1518581925 | Kevin Mccarthy | Nurse Anesthetist, Certified Registered | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2020-06-01 |
| 1619521036 | Roper Saint Francis Physicians Network | Obstetrics & Gynecology | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2019-07-25 |
| 1467917724 | East Carolina Anesthesia Associates, Pllc | Registered Nurse | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2019-01-31 |
| 1902398431 | Olivia Gettys | Speech-Language Pathologist | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2018-05-31 |
| 1619405172 | Megan K. Huff | Nurse Practitioner | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2017-05-30 |
| 1871021790 | Jose Emmanuel Palo | Internal Medicine | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2017-05-24 |
| 1871035956 | Bon Secours St. Francis Xavier Hospital, Inc. | Nurse Anesthetist, Certified Registered | 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | 2016-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240897 | Alexander Hayes Meinzer | Anesthesiology | 167 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2020-06-18 |
| 1366000457 | Stephen Paul Eason | Anesthesiology | Musc Gme Office 169 Ashley Avenue Room 202 Muh Msc 333, Charleston, SC 29425-0001 | 2019-06-03 |
| 1740719889 | Mark Abumoussa | Anesthesiology | Musc Anesthesia & Perioperative Medicine 167, Charleston, SC 29425-0001 | 2017-06-11 |
| 1770036410 | Devin Antonovich | Anesthesiology | 96 Johnathan Lucas St., Charleston, SC 29425 | 2016-07-29 |
| 1205287786 | Martha Anne Deberry King | Anesthesiology | 1514 Gardenia Rd, Charleston, SC 29407-5212 | 2016-06-27 |
| 1144630286 | Joseph Anwar Abro | Anesthesiology | 169 Ashley Avenue Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2014-04-29 |
| 1164785077 | Dale Scott Carter | Anesthesiology | 167 Ashley Ave Ste 308, Msc 912, Charleston, SC 29425-9120 | 2012-06-18 |
| 1093043192 | Michale Jill Barber | Anesthesiology | 211 King St, Suite 310, Charleston, SC 29401-3128 | 2009-12-01 |
| 1740423904 | Maria Yared | Anesthesiology | 167 Ashley Ave Ste 301, Msc 912, Charleston, SC 29425-8905 | 2009-04-16 |
| 1487808846 | Carlee Clark | Anesthesiology | 17 Ashley Ave, Charleston, SC 29425-0001 | 2008-11-12 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.