Provider Demographics
NPI:1063456234
Name:VORHIES, STEVEN LEE (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:LEE
Last Name:VORHIES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3395
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47732-3395
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1373 E SR 62
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:IN
Practice Address - Zip Code:47250
Practice Address - Country:US
Practice Address - Phone:812-801-0827
Practice Address - Fax:812-801-0025
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01043990207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
5998427OtherAETNA
IN200034430BMedicaid
080134570OtherMEDICARE RAILROAD
000000067647OtherANTHEM BCBS
268222OtherBLACK LUNG
701353POtherSIHO
IN080134570Medicare PIN
IN412840ZZMedicare PIN
5998427OtherAETNA
IN200034430BMedicaid