Provider Demographics
NPI:1881659084
Name:ISBELL, STEVEN ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ALAN
Last Name:ISBELL
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 1:321 MEDICAL CENTER DR SW
Mailing Address - Street 2:
Mailing Address - City:FORT PAYNE
Mailing Address - State:AL
Mailing Address - Zip Code:35968-3420
Mailing Address - Country:US
Mailing Address - Phone:256-845-4131
Mailing Address - Fax:256-845-4266
Practice Address - Street 1:321 MEDICAL CENTER DR SW
Practice Address - Street 2:
Practice Address - City:FORT PAYNE
Practice Address - State:AL
Practice Address - Zip Code:35968-3420
Practice Address - Country:US
Practice Address - Phone:256-845-4131
Practice Address - Fax:256-845-4266
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11947208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000014655Medicaid
020005042OtherRAILROAD MEDICARE
AL51014655OtherBLUE CROSS OF ALABAMA
AL000014655Medicaid
AL000014655Medicare ID - Type Unspecified