Provider Demographics
NPI:1780648402
Name:STEED, RITCHIE H (DPM)
Entity Type:Individual
Prefix:
First Name:RITCHIE
Middle Name:H
Last Name:STEED
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 COFFMAN ST
Mailing Address - Street 2:STE. A
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-8302
Mailing Address - Country:US
Mailing Address - Phone:303-772-7008
Mailing Address - Fax:866-358-1067
Practice Address - Street 1:630 COFFMAN ST
Practice Address - Street 2:STE. A
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-8302
Practice Address - Country:US
Practice Address - Phone:303-772-7008
Practice Address - Fax:866-358-1067
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO561213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
2263531OtherAETNA HMO
841189022001OtherTRICARE
9742230003OtherCOMMERCIAL
9742230002OtherCIGNA PAL
CO0244690001OtherPALMETTO
84-1189022-04OtherPACIFICARE
480027697OtherRR MEDICARE
COST637526OtherCO BC/BS
84-1189022-04OtherPACIFICARE
9742230003OtherCOMMERCIAL
COCO40959Medicare PIN