Provider Demographics
NPI:1912986746
Name:SIGEL, JESSICA E (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:E
Last Name:SIGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7111 FAIRWAY DR
Mailing Address - Street 2:#400
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-4204
Mailing Address - Country:US
Mailing Address - Phone:800-330-6565
Mailing Address - Fax:800-330-6565
Practice Address - Street 1:7730 FIRST PL
Practice Address - Street 2:SUITE A
Practice Address - City:OAKWOOD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44146-6719
Practice Address - Country:US
Practice Address - Phone:440-703-2100
Practice Address - Fax:440-703-2100
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2008-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.074471207ZP0102X, 207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2305508Medicaid
OH58005978100OtherBUREAU OF WORKERS COMPENSATION
220024040Medicare PIN
OH58005978100OtherBUREAU OF WORKERS COMPENSATION