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: UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION

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 31 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 Field Definition 1
1 NPI 1679537476 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name SEGAL The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name LEE The first name of the provider, if the provider is an individual.
5 Provider Middle Name S The middle name of the provider, if the provider is an individual.
6 Provider Credential Text M.D. The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
7 Provider First Line Business Practice Location Address 600 HIGHLAND AVE The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name MADISON The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address State Name WI The State code in the location of the provider being identified.
10 Provider Business Practice Location Address Postal Code 537920001 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 6082636420 The telephone number associated with the location address of the provider being identified.
13 Provider Business Practice Location Address Fax Number 6088907675 The fax number associated with the location address of the provider being identified.
14 Provider Enumeration Date 4/17/2006 The date the provider was assigned a unique identifier (assigned an NPI).
15 Last Update Date 5/20/2014 The date that a record was last updated or changed.
16 Provider Gender Code M The code designating the provider’s gender if the provider is a person.
17 Healthcare Provider Taxonomy Code 1 207XP3100X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
18 Provider License Number 1 62204-20 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
19 Provider License Number State Code 1 WI The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 257233 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
22 Other Provider Identifier Type Code 1 05 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
23 Other Provider Identifier State 1 AZ
24 Other Provider Identifier 2 E55830 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
25 Other Provider Identifier Type Code 2 02 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
26 Other Provider Identifier 3 613985 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
27 Other Provider Identifier Type Code 3 04 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
28 Other Provider Identifier 4 0012168010001 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
29 Other Provider Identifier Type Code 4 05 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
30 Other Provider Identifier State 4 PA
31 Is Sole Proprietor N Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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