Provider Demographics
NPI:1619953445
Name:NEEDLEMAN, STEVEN MITCHELL (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:MITCHELL
Last Name:NEEDLEMAN
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 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:400 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:LEWISTOWN
Practice Address - State:PA
Practice Address - Zip Code:17044-1167
Practice Address - Country:US
Practice Address - Phone:717-242-7473
Practice Address - Fax:717-242-7478
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0955207L00000X
PAMD055398L207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX118507608Medicaid
TXP01446595OtherRR
TX118507603Medicaid
TX8EH636OtherBCBS
TX118507606Medicaid
TX118507608Medicaid
TX8EH636OtherBCBS
TX8E0164Medicare PIN
TX118507603Medicaid
TX118507604Medicaid
TX89571KMedicare PIN
TX8E0164Medicare PIN
TX118507606Medicaid
TX8K6312Medicare PIN