Provider Demographics
NPI:1356786594
Name:SIEGAL, NORA KATE (MD PHD)
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:KATE
Last Name:SIEGAL
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:NORA
Other - Middle Name:KATE
Other - Last Name:SILVERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:2148 EMBASSY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-2385
Mailing Address - Country:US
Mailing Address - Phone:717-819-9011
Mailing Address - Fax:717-819-9048
Practice Address - Street 1:2148 EMBASSY DR STE 200
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-2385
Practice Address - Country:US
Practice Address - Phone:917-689-7219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-01
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60742693207W00000X
PAMD467126207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1356786594Medicaid
WA8966632OtherMEDICARE PIN