Provider Demographics
NPI:1760447783
Name:MACHEERS, STEVEN K (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:K
Last Name:MACHEERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1838 AMERICAN WAY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-6611
Mailing Address - Country:US
Mailing Address - Phone:770-995-7622
Mailing Address - Fax:770-995-7854
Practice Address - Street 1:5665 PEACHTREE DUNWOODY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342
Practice Address - Country:US
Practice Address - Phone:404-252-6104
Practice Address - Fax:404-847-9683
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA034187208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00658226BMedicaid
GA330003475OtherRAILROAD MEDICARE
GA388004OtherBLUE CROSS BLUE SHIELD
GA000658226DMedicaid
GA000658226CMedicaid
GA388004OtherBLUE CROSS BLUE SHIELD
GA330003475OtherRAILROAD MEDICARE
GA000658226DMedicaid
GA202I999110Medicare PIN