Provider Demographics
NPI:1285645861
Name:KLEINHENZ, STEVEN MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:MICHAEL
Last Name:KLEINHENZ
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 1:6438 WILMINGTON PIKE STE 220
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-7021
Mailing Address - Country:US
Mailing Address - Phone:937-433-5309
Mailing Address - Fax:937-433-1340
Practice Address - Street 1:6438 WILMINGTON PIKE
Practice Address - Street 2:SUITE 220
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-7022
Practice Address - Country:US
Practice Address - Phone:937-433-1336
Practice Address - Fax:937-433-1340
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-04-8007K207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4013828OtherAETNA
OH000000683332OtherANTHEM
OH0627272Medicaid
OHP00215369OtherMEDICARE RAIL ROAD
OH4013828OtherAETNA
OH0627272Medicaid
OH000000683332OtherANTHEM