1518903863 NPI number — WILLIAM J STEINES M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518903863 NPI number — WILLIAM J STEINES M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

STEINES

Provider First Name:

WILLIAM

Provider Middle Name:

J

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

M

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

STEINES

Provider Other First Name:

WILLIAM

Provider Other Middle Name:

J

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

5

NPI Number:

1518903863

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

09/18/2012

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

10700 E GEDDES AVE

Provider Second Line Business Mailing Address:

NO 200

Provider Business Mailing Address City Name:

ENGLEWOOD

Provider Business Mailing Address State Name:

CO

Provider Business Mailing Address Postal Code:

80112-3800

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

501 E HAMPDEN AVE

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

ENGLEWOOD

Provider Business Practice Location Address State Name:

CO

Provider Business Practice Location Address Postal Code:

80113-2702

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

303-761-9190

Provider Business Practice Location Address Fax Number:

Provider Enumeration Date:

06/22/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 2085R0202X , with the licence number:  18887 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 84-059792913 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".
• Identifier: 01188879 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
• Identifier: 053210301 . This is a "TX MEDICAID" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
• Identifier: 117327800 . This is a "WY MEDICAID" identifier , issued by the state of ( WY ) . This identifiers is of the category "OTHER".
• Identifier: 300090361 . This is a "RR DIA MCRE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
• Identifier: 920422 . This is a "AZ MEDICAID" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".
• Identifier: 104699372 . This is a "MI MEDICAID" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 300090362 . This is a "RR MIC MCRE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
• Identifier: XPY201216 . This is a "CA MEDICAID" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
• Identifier: 200424780A . This is a "KS MEDICAID" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
• Identifier: 02300663 . This is a "NY MEDICAID" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
• Identifier: 300049088 . This is a "RR RIA MCRE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".