Provider Demographics
NPI:1295729663
Name:TAUBMAN, STEVEN M (DPM)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:M
Last Name:TAUBMAN
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 1:996 FIRST COLONIAL RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-3175
Mailing Address - Country:US
Mailing Address - Phone:757-481-6248
Mailing Address - Fax:
Practice Address - Street 1:996 FIRST COLONIAL RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3175
Practice Address - Country:US
Practice Address - Phone:757-481-6248
Practice Address - Fax:757-481-6523
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000381213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA011561OtherANTHEM PROVIDER NUMBER
VA311652OtherMDIPA/ MAMSI PROVIDER NUM
VA9301143Medicaid
VA15422OtherOPTIMA PROVIDER NUMBER
VA15422OtherOPTIMA PROVIDER NUMBER
VA9301143Medicaid
VA311652OtherMDIPA/ MAMSI PROVIDER NUM
VA0767720002Medicare NSC
VACC6300Medicare PIN