Provider Demographics
NPI:1669438628
Name:CONNER, STEVEN A (DPM)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:A
Last Name:CONNER
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 1:9102 BABCOCK BLVD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5819
Mailing Address - Country:US
Mailing Address - Phone:412-367-8404
Mailing Address - Fax:
Practice Address - Street 1:9102 BABCOCK BLVD
Practice Address - Street 2:SUITE 109
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237
Practice Address - Country:US
Practice Address - Phone:412-367-8404
Practice Address - Fax:412-367-5144
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002059L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA163282Medicare PIN
PAT29819Medicare UPIN