Provider Demographics
NPI:1619914645
Name:HITE, STEPHEN H (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:H
Last Name:HITE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7595 ANAGRAM DR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-7399
Mailing Address - Country:US
Mailing Address - Phone:612-573-2200
Mailing Address - Fax:612-573-2274
Practice Address - Street 1:7595 ANAGRAM DR
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-7399
Practice Address - Country:US
Practice Address - Phone:612-573-2200
Practice Address - Fax:612-573-2274
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2022-07-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN326482085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN029R5HIOtherBLUE CROSS
MNHP22203OtherHEALTHPARTNERS
MN105555OtherUCARE
WI31816500Medicaid
IA2998161Medicaid
MN300107467OtherRAILROAD MEDICARE MN
MN78D02HIOtherBLUE CROSS
MN184805400Medicaid
MN235638OtherMIDLANDS CHOICE INC
MN1012211OtherPREFERRED ONE
MN525818OtherAMERICA'S PPO
MN300002058Medicare PIN
WI004104070Medicare PIN
MN029R5HIOtherBLUE CROSS
MN525818OtherAMERICA'S PPO
MN105555OtherUCARE
WI31816500Medicaid