Provider Demographics
NPI:1245242411
Name:STEINMETZ, ALLISON HERMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:HERMAN
Last Name:STEINMETZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALLISON
Other - Middle Name:BETH
Other - Last Name:HERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:925 IRONWOOD DR
Mailing Address - Street 2:STE 2102
Mailing Address - City:MINDEN
Mailing Address - State:NV
Mailing Address - Zip Code:89423-5180
Mailing Address - Country:US
Mailing Address - Phone:775-445-7745
Mailing Address - Fax:
Practice Address - Street 1:1090 3RD ST
Practice Address - Street 2:
Practice Address - City:SOUTH LAKE TAHOE
Practice Address - State:CA
Practice Address - Zip Code:96150-3485
Practice Address - Country:US
Practice Address - Phone:530-543-5660
Practice Address - Fax:530-542-1619
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV14230207RH0002X
CAA71386208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0028551Medicaid
CAG62779Medicare UPIN