Provider Demographics
NPI:1457369464
Name:STEINER, JAMES WALTER (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:WALTER
Last Name:STEINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:WALTER
Other - Last Name:STEINER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2445 NORTH HAYDEN ROAD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-2303
Mailing Address - Country:US
Mailing Address - Phone:480-947-3451
Mailing Address - Fax:480-945-7614
Practice Address - Street 1:2445 NORTH HAYDEN ROAD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-2303
Practice Address - Country:US
Practice Address - Phone:480-947-3451
Practice Address - Fax:480-945-7614
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ12795207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0323070OtherBLUE CROSS BLUE SHIELD OF ARIZONA
AZ3261916OtherCIGNA HEALTH PLAN
AZD37700Medicare UPIN
AZ08WCHDP06Medicare PIN
D37700Medicare UPIN