| Mark Sigman, MD | |
|
2 Dudley St, Suite 185, Providence, RI 02905-3236 | |
| (401) 421-0710 | |
| (401) 421-0796 |
| Full Name | Mark Sigman |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 2 Dudley St, Providence, Rhode Island |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114038155 | NPI | - | NPPES |
| 9006526 | Medicaid | RI | |
| 20348 | Other | RI | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD07533 (Rhode Island) | Primary |
| Entity Name | The Miriam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831362813 PECOS PAC ID: 6901796408 Enrollment ID: O20081016000420 |
| Entity Name | Brown Urology, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467973099 PECOS PAC ID: 7810254513 Enrollment ID: O20171206000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Sigman, MD 195 Collyer St, Suite 201, Providence, RI 02904-1869 Ph: (401) 421-0710 | Mark Sigman, MD 2 Dudley St, Suite 185, Providence, RI 02905-3236 Ph: (401) 421-0710 |
Boris Gershman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 195 Collyer St, Suite 201, Providence, RI 02904 Phone: 401-272-7799 Fax: 401-453-9078 | |
Daniel Isaac Sanford, MD Urology Medicare: Medicare Enrolled Practice Location: 593 Eddy St, Providence, RI 02903 Phone: 401-444-5795 | |
Simone Thavaseelan, Urology Medicare: Accepting Medicare Assignments Practice Location: 2 Dudley St Ste 185, Providence, RI 02905 Phone: 401-444-5795 | |
Prof. Stephen N. Rous, M.D. Urology Medicare: Medicare Enrolled Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7100 | |
Harry Michael Iannotti, MD Urology Medicare: Medicare Enrolled Practice Location: 1165 N Main St, Ste. 200, Providence, RI 02904 Phone: 401-521-4333 Fax: 401-521-4377 | |
Dr. Barry Stephen Stein, MD Urology Medicare: Medicare Enrolled Practice Location: 2 Dudley St, Suite 174, Providence, RI 02905 Phone: 401-444-8577 |