DR. MARK SIEGEL (NPI# 1649322595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649322595 |
| Entity Type | Individual |
| Full Name | DR. MARK SIEGEL |
| Credential | MD |
| Practice Address |
1220 Dewey Ave. Wauwatosa WI 53213-2504 |
| Practice Telephone | 4144546566 |
| Practice Fax Number | 4144546522 |
| Mailing Telephone | 4144546779 |
| Mailing Fax Number | 4144546450 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
23242-020 | WI | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
23242020 | WI | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
23240-020 | WI | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
23242020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30525800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376783928 | Mark Siegel | Anesthesiology | 19 E. 98th Street, Suite 7a, New York, NY 10029 | 2009-02-23 |
| 1124234232 | Mark Steven Siegel | Marriage & Family Therapist | 7631 Stanford Ave, University City, MO 63130-2839 | 2007-05-15 |
| 1487690046 | Mark Phillips Siegel | Family Medicine | 1820 W Maryland Ave, Suite 5, Phoenix, AZ 85015 | 2006-06-21 |
| 1013981380 | Mark Ira Siegel | Internal Medicine | 60 Gramercy Park N, Ground Floor, New York, NY 10010-5423 | 2006-02-14 |
| 1285614016 | Mark Samuel Siegel | Ophthalmology | 989 Ribaut Rd Ste 200, Beaufort, SC 29902-5481 | 2006-01-18 |
| 1386649614 | Mark G. Siegel | Orthopaedic Surgery | 10663 Montgomery Rd, Cincinnati, OH 45242-4403 | 2005-06-14 |
| 1437536463 | Mark Joseph Siegel | Pediatrics | 169 Ashley Ave, Room 202 Main Hospital Musc333, Charleston, SC 29425 | 2015-04-28 |
| 1588863799 | Mark Siegel | Clinic/Center | 508 N Acadia Rd, Thibodaux, LA 70301-4862 | 2007-07-17 |
| 1710193693 | Mark David Siegel | Dentist | 16055 Ventura Blvd, Suite 1030, Encino, CA 91436-2601 | 2007-05-15 |
| 1053494021 | Mark Eric Siegel | Pediatrics | 30 Prospect Ave, Imus Bldg, 3rd Fl, Hackensack Univ. Medical Center, Hackensack, NJ 07601-1914 | 2006-10-23 |
| Street Address |
1220 DEWEY AVE. |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53213-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497765119 | David Winslow Pierce | Psychiatry & Neurology | 1220 Dewey Ave., Wauwatosa, WI 53213-2504 | 2006-08-08 |
| 1831286616 | John M Rohr | Psychiatry & Neurology | 1220 Dewey Ave., Bldg 13, Wauwatosa, WI 53213-2504 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
| 1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
| 1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
| 1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
| 1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
| 1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
| 1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
| 1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
| 1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
| 1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
| Find all providers in zip 53213 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922206259 | Mohammad Imran Anjum | Psychiatry & Neurology | 1200 Dewey Ave, Aurora Psychiatric Hospital, Wauwatosa, WI 53213 | 2007-07-09 |
| 1497765119 | David Winslow Pierce | Psychiatry & Neurology | 1220 Dewey Ave., Wauwatosa, WI 53213-2504 | 2006-08-08 |
| 1457343923 | Theodore Eldon Weltzin | Psychiatry & Neurology | 2500 N Mayfair Rd Ste 600, Wauwatosa, WI 53226-1428 | 2005-08-19 |
| 1134575061 | Sahar Jahed | Psychiatry & Neurology | 8701 W Watertown Plank Rd, Wauwatosa, WI 53226-3548 | 2016-05-10 |
| 1972974079 | Bright Beginnings Psychiatry LLC | Psychiatry & Neurology | 10425 W North Ave, Suite 314, Wauwatosa, WI 53226-2416 | 2015-10-14 |
| 1518340728 | James A Ruvalcaba | Psychiatry & Neurology | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2015-07-07 |
| 1730507773 | Gregory Andrew Burek | Psychiatry & Neurology | 1220 Dewey Ave, Wauwatosa, WI 53213 | 2014-04-05 |
| 1982022752 | Emilie M Padfield | Psychiatry & Neurology | 1220 Dewey Ave, Wauwatosa, WI 53213 | 2014-03-30 |
| 1033452743 | Niketa Desai | Psychiatry & Neurology | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2013-04-01 |
| 1487915237 | Mary Ann Rasku | Psychiatry & Neurology | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2012-06-07 |
| Find all providers in WAUWATOSA | ||||
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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.