1033174628 NPI number — LEAH STEFFENSMEIER M.D.

Table of content: LEAH STEFFENSMEIER M.D. (NPI 1033174628)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033174628 NPI number — LEAH STEFFENSMEIER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEFFENSMEIER
Provider First Name:
LEAH
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DENNING
Provider Other First Name:
LEAH
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1033174628
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/20/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
FORT MADISON PHYSICIANS AND SURGEONS
Provider Second Line Business Mailing Address:
5409 AVENUE O
Provider Business Mailing Address City Name:
FORT MADISON
Provider Business Mailing Address State Name:
IA
Provider Business Mailing Address Postal Code:
52627
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
319-376-2134
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
FORT MADISON PHYSICIANS AND SURGEONS
Provider Second Line Business Practice Location Address:
5409 AVENUE O
Provider Business Practice Location Address City Name:
FORT MADISON
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
52627
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
319-376-2134
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/18/2006

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: 207V00000X , with the licence number:  36138 , registered in the state of IA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0467878 , issued by the state of ( IA ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00251202 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".
  • Identifier: IA0142 . This is a "JOHN DEERE HEALTH CARE" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".
  • Identifier: 39817 . This is a "WELLMARK BLUE CROSS" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".
  • Identifier: 52575 . This is a "IOWA HEALTH SOLUTIONS" identifier , issued by the state of ( IA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com