Provider Demographics
NPI:1033174628
Name:STEFFENSMEIER, LEAH (MD)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:STEFFENSMEIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:DENNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:FORT MADISON PHYSICIANS AND SURGEONS
Mailing Address - Street 2:5409 AVENUE O
Mailing Address - City:FORT MADISON
Mailing Address - State:IA
Mailing Address - Zip Code:52627
Mailing Address - Country:US
Mailing Address - Phone:319-376-2134
Mailing Address - Fax:
Practice Address - Street 1:FORT MADISON PHYSICIANS AND SURGEONS
Practice Address - Street 2:5409 AVENUE O
Practice Address - City:FORT MADISON
Practice Address - State:IA
Practice Address - Zip Code:52627
Practice Address - Country:US
Practice Address - Phone:319-376-2134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2010-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA36138207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0467878Medicaid
IAP00251202OtherRAILROAD MEDICARE
IAIA0142OtherJOHN DEERE HEALTH CARE
IA39817OtherWELLMARK BLUE CROSS
IA52575OtherIOWA HEALTH SOLUTIONS
IA52575OtherIOWA HEALTH SOLUTIONS
IAI15612Medicare PIN