1881814770 NPI number — PETER RICHARD STEENLAND III M.D.

Table of content: PETER RICHARD STEENLAND III M.D. (NPI 1881814770)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881814770 NPI number — PETER RICHARD STEENLAND III M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEENLAND
Provider First Name:
PETER
Provider Middle Name:
RICHARD
Provider Name Prefix Text:
Provider Name Suffix Text:
III
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881814770
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/11/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 602811
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28260-2811
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-213-1500
Provider Business Mailing Address Fax Number:
828-651-6570

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7 VANDERBILT PARK DR
Provider Second Line Business Practice Location Address:
CAROLINA SPINE AND NEUROSURGERY CENTER
Provider Business Practice Location Address City Name:
ASHEVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28803-1700
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-255-7776
Provider Business Practice Location Address Fax Number:
828-274-7855
Provider Enumeration Date:
04/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207T00000X , with the licence number:  2013-00901 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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