Provider Demographics
NPI:1437209350
Name:STEINHAUER, JON R (MD)
Entity Type:Individual
Prefix:
First Name:JON
Middle Name:R
Last Name:STEINHAUER
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 1:5440 SOUTH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2116
Mailing Address - Country:US
Mailing Address - Phone:402-465-1950
Mailing Address - Fax:402-465-1940
Practice Address - Street 1:5440 SOUTH ST STE 200
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2116
Practice Address - Country:US
Practice Address - Phone:402-465-1900
Practice Address - Fax:402-465-1940
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN46415207ZP0105X
NECP556207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN350422100Medicaid
MN1100408OtherMEDICA
MN97781OtherPREFERRED ONE
MNP00199674OtherRR MEDICARE
MN838S7STOtherBLUES
MN34536000Medicaid