LEE S SEGAL, M.D. - NPI NUMBER 1679537476

Summary

Provider Name: LEE S SEGAL, M.D.

NPI Number: 1679537476

Clasification: Orthopaedic Surgery (207XP3100X)

Specialization: Pediatric Orthopaedic Surgery

Organization: DISTRICT MEDICAL GROUP, INC

Address:
600 HIGHLAND AVE
MADISON, WI
ZIP 53792

Phone Number: (608) 263-6420



Detailed Information

Lee S Segal, M.D. is a pediatric orthopaedic surgeon in Madison, WI with 30 years of experience. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. The assigned NPI number for this provider is 1679537476 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year: 1984

The provider's business address is:

600 HIGHLAND AVE
MADISON, WI
ZIP 53792-001
Phone: (608) 263-6420
Fax: (608) 890-7675

The enumeration date for this NPI number is 4/17/2006 and was last updated on 5/20/2014.

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery 62204-20 WI Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 257233 MEDICAID AZ
2 E55830 MEDICARE UPIN
3 613985 MEDICARE ID-TYPE UNSPECIFIED
4 0012168010001 MEDICAID PA

NPI Record

No. Field Name Field Value
1 NPI 1679537476
2 Entity Type Code 1
3 Provider Last Name Legal Name SEGAL
4 Provider First Name LEE
5 Provider Middle Name S
6 Provider Credential Text M.D.
7 Provider First Line Business Practice Location Address 600 HIGHLAND AVE
8 Provider Business Practice Location Address City Name MADISON
9 Provider Business Practice Location Address State Name WI
10 Provider Business Practice Location Address Postal Code 537920001
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 6082636420
13 Provider Business Practice Location Address Fax Number 6088907675
14 Provider Enumeration Date 4/17/2006
15 Last Update Date 5/20/2014
16 Provider Gender Code M
17 Healthcare Provider Taxonomy Code 1 207XP3100X
18 Provider License Number 1 62204-20
19 Provider License Number State Code 1 WI
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 257233
22 Other Provider Identifier Type Code 1 05
23 Other Provider Identifier State 1 AZ
24 Other Provider Identifier 2 E55830
25 Other Provider Identifier Type Code 2 02
26 Other Provider Identifier 3 613985
27 Other Provider Identifier Type Code 3 04
28 Other Provider Identifier 4 0012168010001
29 Other Provider Identifier Type Code 4 05
30 Other Provider Identifier State 4 PA
31 Is Sole Proprietor N

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.