Basic Information
| Provider Information | |||||||||
| NPI: | 1235136425 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEINBERG | ||||||||
| FirstName: | STUART | ||||||||
| MiddleName: | ALLEN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 350 THOMAS MORE PKWY | ||||||||
| Address2: | STE 280 | ||||||||
| City: | CRESTVIEW HILLS | ||||||||
| State: | KY | ||||||||
| PostalCode: | 410175465 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8594260800 | ||||||||
| FaxNumber: | 8594264140 | ||||||||
| Practice Location | |||||||||
| Address1: | 350 THOMAS MORE PKWY | ||||||||
| Address2: | STE 280 | ||||||||
| City: | CRESTVIEW HILLS | ||||||||
| State: | KY | ||||||||
| PostalCode: | 410175465 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8594260800 | ||||||||
| FaxNumber: | 8594264140 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/01/2005 | ||||||||
| LastUpdateDate: | 03/25/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 35-03-4038 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RC0000X | 28522 | KY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 0369201 | 01 | KY | MEDICARE | OTHER | 060037682 | 01 | RAILROAD MEDICARE | OTHER | P00893680 | 01 | OH | RAILROAD MEDICARE | OTHER | 0562603 | 01 | KY | MEDICARE | OTHER | 611300608067 | 01 | OH | CARESOURCE | OTHER | 0369001 | 01 | KY | MEDICARE | OTHER | P00893686 | 01 | KY | RAILROAD MEDICARE | OTHER | 0207850 | 05 | OH | MEDICAID | 64783830 | 05 | KY | MEDICAID | 0969496 | 01 | KY | MEDICARE PTAN | OTHER | 50024709 | 01 | KY | PASSPORT MEDICAID | OTHER |