Provider Demographics
NPI:1558321703
Name:GUILFORD EMERGENCY PHYSICIANS PA
Entity Type:Organization
Organization Name:GUILFORD EMERGENCY PHYSICIANS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-634-1010
Mailing Address - Street 1:6896 W SNOWVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-3214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:618 S MAIN ST
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-5020
Practice Address - Country:US
Practice Address - Phone:336-634-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC153895100OtherFECA
NC153895100OtherBLACK LUNG
NC21134OtherMEDCOST
NC89012A6Medicaid
NC153895100OtherENERGY
NCB507OtherPARTNERS
NC0102VOtherBLUE CROSS BLUE SHIELD
NC=========Other1011 TRAILBLAZER
NCB507OtherPARTNERS