Provider Demographics
NPI:1427037548
Name:SIGLER, SCOTT C (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:C
Last Name:SIGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SCOTT
Other - Middle Name:C
Other - Last Name:SIGLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 26168
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73126-0168
Mailing Address - Country:US
Mailing Address - Phone:405-348-9993
Mailing Address - Fax:405-348-9994
Practice Address - Street 1:2020 E 15TH ST
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-6603
Practice Address - Country:US
Practice Address - Phone:405-348-9993
Practice Address - Fax:405-348-9994
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK19857207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK348529509Medicare ID - Type Unspecified
F78838Medicare UPIN