Active NPIIndividual providerSole proprietor

Dr. Jerome D Segel, DPM

Podiatrist in West Tisbury, Massachusetts

NPI Number1073501961
Practice location
20 Pond RD, West Tisbury, MA 02575
Fax
508-696-6461
Last updated
October 23, 2009

Jerome Dennis Segel is a Podiatrist based in West Tisbury, MA. Jerome Dennis Segel practices in West Tisbury, MA and has the professional credentials of DPM. The NPI Number for Jerome Dennis Segel is 1073501961 and holds a License No. 1701 (MA). The current practice location address for Jerome Dennis Segel is 20 Pond RD, West Tisbury, MA 02575 and can be reached out via phone at 508-696-6461 and via fax at 508-696-6461.

Provider Profile Details

NPI Number
1073501961
Provider Name
Jerome Dennis Segel
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
20 Pond RD, West Tisbury, MA 02575
Phone Number
508-696-6461
Fax Number
508-696-6461
Primary Taxonomy
Podiatrist · 213E00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 13, 2005
Last Update Date
October 23, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Pond RD
West Tisbury, MA 02575
Zip
02575
Phone Number
508-696-6461
Fax Number
508-696-6461
West Tisbury, MA 02575Get directions →

Provider Business Mailing Address Details

Address
Po Box 3000/ Pmb 3003
West Tisbury, MA 02575
City
West Tisbury
State
MA
Zip
02575
Phone Number
508-696-6461
Fax Number
508-696-6461

License Information

License Number
1701
License State
MA
Taxonomy
Podiatrist · 213E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jerome D Segel, DPM?

The NPI number of Dr. Jerome D Segel, DPM is 1073501961. It was assigned on October 13, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Jerome D Segel, DPM?

Dr. Jerome D Segel, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in MA under license number 1701.

Where does Dr. Jerome D Segel, DPM practice?

The practice location is 20 Pond RD, West Tisbury, MA 02575. The office can be reached at 508-696-6461 (phone) or 508-696-6461 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073501961 directly on the NPPES registry website.

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