Provider Demographics
NPI:1851305403
Name:CLAUDINE E. SIEGERT M.D.PLLC
Entity Type:Organization
Organization Name:CLAUDINE E. SIEGERT M.D.PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAUDINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SIEGERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-251-2523
Mailing Address - Street 1:417 BILTMORE AVE
Mailing Address - Street 2:SUITE 5 E
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4543
Mailing Address - Country:US
Mailing Address - Phone:828-251-2523
Mailing Address - Fax:828-251-2527
Practice Address - Street 1:417 BILTMORE AVE
Practice Address - Street 2:SUITE 5 E
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4543
Practice Address - Country:US
Practice Address - Phone:828-251-2523
Practice Address - Fax:828-251-2527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2001-00782208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8912897Medicaid
NC2288028Medicare ID - Type Unspecified
NC8912897Medicaid