Provider Demographics
NPI:1982678009
Name:STEINER, CAROL MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:MARIE
Last Name:STEINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:MARIE
Other - Last Name:FERRUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12655 WARWICK BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-2501
Mailing Address - Country:US
Mailing Address - Phone:757-595-3570
Mailing Address - Fax:757-592-9280
Practice Address - Street 1:12655 WARWICK BLVD STE B
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-2501
Practice Address - Country:US
Practice Address - Phone:757-595-3570
Practice Address - Fax:757-592-9280
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG082326208000000X
VA0101239601208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5903628Medicaid