Provider Demographics
NPI:1275736415
Name:EVERETT-SIGWALT, GENEVIEVE LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:GENEVIEVE
Middle Name:LYNN
Last Name:EVERETT-SIGWALT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GENEVIEVE
Other - Middle Name:LYNN
Other - Last Name:EVERETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:126 E CHURCH ST STE 3100
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-2274
Mailing Address - Country:US
Mailing Address - Phone:814-445-7101
Mailing Address - Fax:814-410-8331
Practice Address - Street 1:126 E CHURCH ST STE 3100
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-2274
Practice Address - Country:US
Practice Address - Phone:814-445-7101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD435021207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1024795500002Medicaid
PA1024795500002Medicaid