Provider Demographics
NPI:1235136425
Name:STEINBERG, STUART ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:ALLEN
Last Name:STEINBERG
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 1:350 THOMAS MORE PKWY
Mailing Address - Street 2:STE 280
Mailing Address - City:CRESTVIEW HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-5465
Mailing Address - Country:US
Mailing Address - Phone:859-426-0800
Mailing Address - Fax:859-426-4140
Practice Address - Street 1:350 THOMAS MORE PKWY
Practice Address - Street 2:STE 280
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-5465
Practice Address - Country:US
Practice Address - Phone:859-426-0800
Practice Address - Fax:859-426-4140
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-03-4038207RC0000X
KY28522207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0369201OtherMEDICARE
060037682OtherRAILROAD MEDICARE
OHP00893680OtherRAILROAD MEDICARE
KY0562603OtherMEDICARE
OH611300608067OtherCARESOURCE
KY0369001OtherMEDICARE
KYP00893686OtherRAILROAD MEDICARE
OH0207850Medicaid
KY64783830Medicaid
KY0969496OtherMEDICARE PTAN
KY50024709OtherPASSPORT MEDICAID
OH0378193Medicare PIN
KY50024709OtherPASSPORT MEDICAID
OH0378196Medicare PIN
KY0562603Medicare PIN
OH611300608067OtherCARESOURCE
KYP00893686OtherRAILROAD MEDICARE
KY0369201Medicare PIN
KYP400020299Medicare PIN
KY0369001OtherMEDICARE