1245235258 NPI number — LOUIS EDWARD STEINBERG M.D.

Table of content: ELIZABETH ALLEY ASBURY (NPI 1730888124)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245235258 NPI number — LOUIS EDWARD STEINBERG M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEINBERG
Provider First Name:
LOUIS
Provider Middle Name:
EDWARD
Provider Name Prefix Text:
Provider Name Suffix Text:
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:
1245235258
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/10/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6201 GREENBELT RD
Provider Second Line Business Mailing Address:
U12
Provider Business Mailing Address City Name:
COLLEGE PARK
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20740-2347
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-345-4667
Provider Business Mailing Address Fax Number:
301-345-2830

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6201 GREENBELT RD
Provider Second Line Business Practice Location Address:
U12
Provider Business Practice Location Address City Name:
COLLEGE PARK
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20740-2347
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-345-4667
Provider Business Practice Location Address Fax Number:
301-345-2830
Provider Enumeration Date:
06/16/2005

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: 207RP1001X , with the licence number:  D0012015 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 10420384 . This is a "CAQH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 146441500 . This is a "DEPT OF LABOR OWCP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0451280 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 05937 . This is a "AMERICAID" identifier . This identifiers is of the category "OTHER".
  • Identifier: 28926 . This is a "MAMSIOPT CHOICEMDIPA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1398691012 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 017381900 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0712 . This is a "MARYLAND BLUE SHIELD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 0716 . This is a "CARE FIRST BCBSDC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8232 . This is a "MARYLAND BLUE SHIELD PC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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