Provider Demographics
NPI:1376639989
Name:RHONDEAU, STEVEN M (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:M
Last Name:RHONDEAU
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 1:3340 NORTH CENTER ST #800
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-7406
Mailing Address - Country:US
Mailing Address - Phone:801-990-1911
Mailing Address - Fax:801-990-1912
Practice Address - Street 1:8TH AVENUE AND C STREET
Practice Address - Street 2:LDS HOSPITAL
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84143
Practice Address - Country:US
Practice Address - Phone:801-507-5248
Practice Address - Fax:801-733-5618
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT89-181583-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002088485Medicaid
WY111114100Medicaid
UT2090168OtherUNITED HEALTHCARE
UT1502954OtherUMWA
UT870545614RH1OtherEDUCATORS MUTUAL
UT107006928101OtherIHC
UT37815OtherPEHP
UT53265OtherHEALTHY U
UT8597445OtherWORKERS COMP
ID003896200Medicaid
AZ862773Medicaid
UT53311OtherDESERET MUTUAL
UTPRA05941OtherMOLINA
UTQM0000075886OtherALTIUS
AZ862773Medicaid
UT870545614RH1OtherEDUCATORS MUTUAL
UT2090168OtherUNITED HEALTHCARE