Provider Demographics
NPI:1326001140
Name:VEST, STEVEN LEE (MD FACG FACP)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LEE
Last Name:VEST
Suffix:
Gender:M
Credentials:MD FACG FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:N.C.H. MEDICAL ARTS BUILDING #2
Mailing Address - Street 2:98 15TH ST NW; SUITE 202
Mailing Address - City:NORTON
Mailing Address - State:VA
Mailing Address - Zip Code:24273
Mailing Address - Country:US
Mailing Address - Phone:276-679-0244
Mailing Address - Fax:276-679-0245
Practice Address - Street 1:N.C.H. MEDICAL ARTS BUILDING #2
Practice Address - Street 2:98 15TH ST NW; SUITE 202
Practice Address - City:NORTON
Practice Address - State:VA
Practice Address - Zip Code:24273
Practice Address - Country:US
Practice Address - Phone:276-679-0244
Practice Address - Fax:276-679-0245
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101031959207RG0100X
NC22857207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006097847Medicaid
KY64662232Medicaid
VA006097847Medicaid
VA100000148Medicare ID - Type Unspecified