Provider Demographics
NPI:1144218132
Name:STEINBERG, KRISTINA (MD)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1710 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ALAMOSA
Mailing Address - State:CO
Mailing Address - Zip Code:81101-2302
Mailing Address - Country:US
Mailing Address - Phone:719-589-3658
Mailing Address - Fax:719-589-0997
Practice Address - Street 1:1710 1ST ST
Practice Address - Street 2:
Practice Address - City:ALAMOSA
Practice Address - State:CO
Practice Address - Zip Code:81101-2302
Practice Address - Country:US
Practice Address - Phone:719-589-3658
Practice Address - Fax:719-589-0997
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO25598207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
186095800OtherUS DEPARTMENT OF LABOR
CO01255983Medicaid
080036223OtherTRAVELERS MEDICARE
CO840706945017OtherROCKY MOUNTAIN HEALTH PLA
COSTH1018OtherANTHEM BCBS
X2884OtherNEW MEXICO MEDICAID
E40434Medicare UPIN
CH1018Medicare PIN