PAUL M SEGAL (NPI# 1720097165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720097165 |
Entity Type | Individual |
Full Name | PAUL M SEGAL |
Credential | MD |
Practice Address |
1905 E. Huebbe Parkway Beloit Health System Inc Beloit WI 53511-1842 |
Practice Telephone | 6083641219 |
Practice Fax Number | 6083641280 |
Mailing Telephone | 6083641219 |
Mailing Fax Number | 6083641280 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2014-02-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | 036-075374 | IL | Allopathic & Osteopathic Physicians |
Y | 207N00000X | Dermatology | 25425020 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1720097165 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962495937 | Paul Lawrence Segal | Social Worker | 15 Hanley Farm Rd, Warren, RI 02885-4376 | 2005-08-25 |
1619975810 | Paul E Segal | Internal Medicine | 2 Livewell Dr, Kennebunk, ME 04043-6762 | 2005-07-12 |
Street Address |
1905 E. HUEBBE PARKWAY BELOIT HEALTH SYSTEM INC |
City | BELOIT |
State | WI |
Zip Code | 53511-1842 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033187216 | Vijaya Somaraju | Internal Medicine | 1905 E. Huebbe Parkway, Beloit Clinic, Beloit, WI 53511-1842 | 2006-03-14 |
1932765054 | Taylor Jordan Tomczak | Dietitian, Registered | 1905 E. Huebbe Parkway, Beloit Clinic, Beloit, WI 53511-1842 | 2019-05-14 |
1265847131 | Tammy J. Flanders | Nurse Practitioner | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2014-06-30 |
1750727012 | Nicole L Chen | Dietitian, Registered | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2013-05-14 |
1386906030 | Rebecca Lynn White | Physical Therapist | 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 | 2012-06-08 |
1891052817 | Leah F. Farley | Pediatrics | 1905 E. Huebbe Parkway, Beloit Clinic, Beloit, WI 53511-1842 | 2012-04-15 |
1306119425 | Thomas Michael Valentine | Physical Therapist | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2012-02-21 |
1922389022 | Nora H Rabin | Physical Therapist | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2011-09-01 |
1871728014 | Neel K Karne | Surgery | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2009-05-18 |
1326222043 | Carolyn Ann Jones | Nurse Practitioner | 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511-1842 | 2007-12-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730738485 | Linda Lee Cook | Technician | 914 Cranston Rd., Beloit, WI 53511 | 2019-09-05 |
1033773734 | Holistic Counseling Services, LLC | Counselor | 1517 Huebbe Parkway, Ste A, Beloit, WI 53511 | 2019-04-28 |
1578073870 | Bonita May Cooke | Counselor | 838 Grant St., Beloit, WI 53511 | 2017-10-02 |
1679091219 | Stacy Lynn Gallagher | Licensed Practical Nurse | 1060 Bittel St, Beloit, WI 53511 | 2017-09-04 |
1629448824 | Brenda Jean Allen | Registered Nurse | 2907 E. Leona Drive, Beloit, WI 53511 | 2015-09-30 |
1033595038 | Amber Noel Slaybaugh | Physical Therapist | 838 E. Azalea Ter., Beloit, WI 53511 | 2015-08-03 |
1407260326 | Quirt Family Dentistry, Sc | Dentist | 2777 Milwaukee Rd, Beloit, WI 53511 | 2014-06-18 |
1821436973 | Raymond K Spade | Counselor | 2240 Prairie Ave., Beloit, WI 53511 | 2013-06-11 |
1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
1235494212 | Mary Ann Hudson | Nurse Practitioner | 700 College Street, Beloit College, Beloit, WI 53511 | 2012-07-06 |
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Taxonomy Code | 207N00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225126212 | David J Corallo | Dermatology | 18586 5th St, Beloit, OH 44609-9799 | 2006-10-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174016596 | Dermatology and Cosmetic Physicians, Sc | Dermatology | W5192 Rienzi Rd, Fond Du Lac, WI 54935-9603 | 2018-06-11 |
1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
1194255521 | Rhonda Ganansky | Dermatology | W1383 N Bloomfield Rd, Lake Geneva, WI 53147-4429 | 2017-06-18 |
1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
1982066239 | Margaret Coleman Maxi | Dermatology | 188 Rockwood Ln Ste A, Neenah, WI 54956-1983 | 2016-03-25 |
1447612312 | Andrew C Duncanson | Dermatology | 510 N 17th Ave Ste C, Wausau, WI 54401-4281 | 2016-03-22 |
1225411481 | Gabriela A Maloney | Dermatology | 17100 W North Ave Ste 200, Brookfield, WI 53005-4489 | 2015-07-07 |
1043604424 | Marthe Ngongang Dika | Dermatology | 10500 W Loomis Rd Ste 110, Franklin, WI 53132-8030 | 2015-03-24 |
1902205206 | Affiliated Dermatologists | Dermatology | N96w17035 Division Rd, Suite A, Germantown, WI 53022-6419 | 2014-08-22 |
1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
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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.