Provider Demographics
NPI:1407872617
Name:TEMPLETON, STEVEN ALLEN (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:ALLEN
Last Name:TEMPLETON
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 1:3826 NORMA ROAD
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37756
Mailing Address - Country:US
Mailing Address - Phone:423-663-2920
Mailing Address - Fax:423-663-3989
Practice Address - Street 1:3826 NORMA RD
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37756-4408
Practice Address - Country:US
Practice Address - Phone:423-663-2920
Practice Address - Fax:423-663-3989
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000015730207Q00000X
VA0101037975207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1504571Medicaid
TN3017157Medicaid
TN4176852OtherBCBS
TN7005208OtherAETNA
TN30175311Medicare PIN
TN1504571Medicaid
TN3017157Medicaid