Provider Demographics
NPI:1083825525
Name:STEVE J SITEK DPM PA
Entity Type:Organization
Organization Name:STEVE J SITEK DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SITEK
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:913-367-3882
Mailing Address - Street 1:710 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002-2435
Mailing Address - Country:US
Mailing Address - Phone:913-367-3882
Mailing Address - Fax:913-367-7849
Practice Address - Street 1:710 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-2435
Practice Address - Country:US
Practice Address - Phone:913-367-3882
Practice Address - Fax:913-367-7849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1200244213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0343490001Medicare NSC
KS018011Medicare PIN