Provider Demographics
NPI:1194791228
Name:SEGALL, JANET S (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:S
Last Name:SEGALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:E
Other - Last Name:SEGALL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:90 SHENANGO ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-2060
Mailing Address - Country:US
Mailing Address - Phone:724-588-4240
Mailing Address - Fax:724-588-0198
Practice Address - Street 1:90 SHENANGO ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-2060
Practice Address - Country:US
Practice Address - Phone:724-588-4240
Practice Address - Fax:724-588-0198
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD046665L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012892180001Medicaid
PA0012892180001Medicaid
B88265Medicare UPIN