Provider Demographics
NPI:1619984903
Name:SEGAL, DAVID HARVEY (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HARVEY
Last Name:SEGAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 7TH ST SE FL 2
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52401-2112
Mailing Address - Country:US
Mailing Address - Phone:319-423-7200
Mailing Address - Fax:319-247-0011
Practice Address - Street 1:600 7TH ST SE FL 2
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52401-2112
Practice Address - Country:US
Practice Address - Phone:319-423-7200
Practice Address - Fax:319-247-0011
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192849207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1710291505OtherWELLMARK BCBS
MD413625000Medicaid
91833202OtherBCBS
IAP00879218OtherRR MEDICARE
5136590OtherAETNA PPO
IA1710291505Medicaid
0007OtherBCBS
1700317OtherAETNA HMO
91833201OtherBCBS
91833202OtherBCBS
IA1710291505OtherWELLMARK BCBS
MD413625000Medicaid
P00469512Medicare PIN
IAIB1909001Medicare PIN
022812M21Medicare PIN