Provider Demographics
NPI:1518903863
Name:STEINES, WILLIAM J (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:STEINES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:WILLIAM
Other - Middle Name:J
Other - Last Name:STEINES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:10700 E GEDDES AVE
Mailing Address - Street 2:NO 200
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3800
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:501 E HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2702
Practice Address - Country:US
Practice Address - Phone:303-761-9190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO188872085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE84-059792913Medicaid
CO01188879Medicaid
TX053210301OtherTX MEDICAID
WY117327800OtherWY MEDICAID
CO300090361OtherRR DIA MCRE
AZ920422OtherAZ MEDICAID
MI104699372OtherMI MEDICAID
CO300090362OtherRR MIC MCRE
CAXPY201216OtherCA MEDICAID
KS200424780AOtherKS MEDICAID
NY02300663OtherNY MEDICAID
CO300049088OtherRR RIA MCRE
MI104699372OtherMI MEDICAID
CO01188879Medicaid
COCW4058Medicare PIN