DR. ERIC J SIEGEL (NPI# 1881748531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881748531 |
| Entity Type | Individual |
| Full Name | DR. ERIC J SIEGEL |
| Credential | M.D. |
| Practice Address |
71 Mack Walters Rd Shelbyville KY 40065-1751 |
| Practice Telephone | 5026337337 |
| Practice Fax Number | 5026337338 |
| Mailing Telephone | 5026337337 |
| Mailing Fax Number | 5026337338 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 28387 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64283872 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609142306 | Eric Todd Siegel | Obstetrics & Gynecology | 128 Highland Pkwy Ste 202, Picayune, MS 39466-5578 | 2012-03-27 |
| 1205010642 | Eric Siegel | Obstetrics & Gynecology | 2231 Burdett Ave Ste 110, Troy, NY 12180-2447 | 2007-12-20 |
| 1275578262 | Eric Scott Siegel | Dermatology | 12 East Willow Street, Millburn, NJ 07041-1417 | 2006-06-17 |
| Street Address |
71 MACK WALTERS RD |
| City | SHELBYVILLE |
| State | KY |
| Zip Code | 40065-1751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134613425 | Danielle Elizabeth O'dell | Physician Assistant | 71 Mack Walters Rd, Shelbyville, KY 40065 | 2018-06-19 |
| 1801130687 | Katherine S Garcia | Nurse Practitioner | 71 Mack Walters Rd, Shelbyville, KY 40065-1751 | 2012-11-19 |
| 1396983029 | Jennifer Mary Seib | Nurse Practitioner | 71 Mack Walters Rd, Shelbyville, KY 40065-1751 | 2009-02-03 |
| 1558415760 | Shelby Pediatrics, Psc | Physician Assistant | 71 Mack Walters Rd, Shelbyville, KY 40065-1751 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013348242 | Elisa Sykes-brees | Counselor | 250 Alpine Drive, Shelbyville, KY 40065 | 2013-12-13 |
| 1073800512 | Mimi Y. R. Rayburn | Nurse Practitioner | 865 Old Taylorsville Rd, Shelbyville, KY 40065 | 2011-07-05 |
| 1124310677 | Amanda B Dassel | Pharmacist | 1605 Midland Trail, Shelbyville, KY 40065 | 2011-05-03 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1699073338 | Emily Ann Waits | Dietitian, Registered | 615 11th Street, Shelby County Health Dept., Shelbyville, KY 40065 | 2011-03-04 |
| 1124335401 | Kelli L. Fetter | Occupational Therapist | 1900 Midland Trail, Ste 1 & 2, Shelbyville, KY 40065 | 2010-09-08 |
| 1083939425 | Marilyn Louise Rhoads | Licensed Practical Nurse | 615 Washington Street, Mercy Clinic, Shelbyville, KY 40065 | 2010-03-29 |
| 1154525277 | Dorman Preschool Center | Early Intervention Provider Agency | 719 Burks Branch Road, Shelbyville, KY 40065 | 2007-06-13 |
| 1194946368 | Joanna Sames | Pharmacist | 16 Village Plaza, Shelbyville, KY 40065 | 2007-05-02 |
| 1033298922 | Robyn A Keeling | Dentist | 502 Mount Eden Rd, Shelbyville, KY 40065 | 2006-11-03 |
| Find all providers in zip 40065 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114273794 | Medical Home Primary Care, Pllc | Pediatrics | 1 Calsonic Way, Shelbyville, TN 37160-2031 | 2012-08-01 |
| 1639468812 | Tia M Alton | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065 | 2011-03-29 |
| 1871611293 | Erica Stich Rogers | Pediatrics | 1612 N Main St, Suite B, Shelbyville, TN 37160-2391 | 2007-03-26 |
| 1063445765 | Virginia B Dauz | Pediatrics | 207 South Pine, Suite #6, Shelbyville, IL 62565 | 2006-07-08 |
| 1104878248 | Samer Loleh | Pediatrics | 220 W Cedar St Ste 208, Shelbyville, TN 37160-2838 | 2006-05-17 |
| 1558364299 | Laura P White | Pediatrics | 140 Stonecrest Rd, Ste 101, Shelbyville, KY 40065-8142 | 2005-05-26 |
| 1023669728 | Kelsea Lea Creason | Pediatrics | 231 Midland Park, Shelbyville, KY 40065-9735 | 2019-09-24 |
| 1528477056 | Barbara F Kaczmarska | Pediatrics | 880 Colloredo Blvd, Shelbyville, TN 37160-2774 | 2014-08-08 |
| 1851718126 | Sarah Hawkins | Pediatrics | 150 Frankfort Rd Ste 101, Shelbyville, KY 40065-9433 | 2014-03-25 |
| 1982037255 | Rupard & Speake Pediatric Group Pllc | Pediatrics | 2839 Highway 231 N, Suite 107, Shelbyville, TN 37160-7447 | 2013-08-09 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 40065 |
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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.