Provider Demographics
NPI:1609916618
Name:SIGMAN, STEVE PAUL (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:STEVE
Middle Name:PAUL
Last Name:SIGMAN
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1398 PARKVIEW ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:ELLISVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63021-4643
Mailing Address - Country:US
Mailing Address - Phone:314-629-4262
Mailing Address - Fax:
Practice Address - Street 1:1398 PARKVIEW ESTATES DR
Practice Address - Street 2:
Practice Address - City:ELLISVILLE
Practice Address - State:MO
Practice Address - Zip Code:63021-4643
Practice Address - Country:US
Practice Address - Phone:314-629-4262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO06-184363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO20-1442455Medicare UPIN