# MR. SCOTT PHILLIP SIEGEL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790950269
- **Gender:** Man
- **Credential:** P.A.-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 008847 | GA | Yes |
| 363A00000X | Physician Assistant | PA9104370 | FL | — |

## Other

- **Enumeration date:** 04/25/2008
- **Last updated:** 07/18/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003123833A | — | GA |
| 05 | — | 005482700 | — | FL |