Provider Demographics
NPI:1255326971
Name:STEINKE, JAY F (CRNA)
Entity Type:Individual
Prefix:
First Name:JAY
Middle Name:F
Last Name:STEINKE
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E 21ST ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-1016
Mailing Address - Country:US
Mailing Address - Phone:605-322-2754
Mailing Address - Fax:605-322-2727
Practice Address - Street 1:800 E 21ST ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1016
Practice Address - Country:US
Practice Address - Phone:605-322-2754
Practice Address - Fax:605-322-2727
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDR022644367500000X
MNR 125243-3367500000X
IAD-092532367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0065245OtherBLUE CROSS OF SD
IA1120337Medicaid
SD0040218OtherWELLMARK
SD051K1STOtherMN BLUECROSS BS
SD5752043Medicaid
SD5752044Medicaid
SDR022644OtherDAKOTACARE
IA2120337Medicaid
SD46022474348Medicaid
MN1255326971Medicaid
SDS65245Medicare PIN
SD051K1STOtherMN BLUECROSS BS
SD0040218OtherWELLMARK
MN1255326971Medicaid
SDP00179139Medicare PIN