Provider Demographics
NPI:1740286814
Name:FILARDO, STEVEN D (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:FILARDO
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 1:5640 WOLF RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-8643
Mailing Address - Country:US
Mailing Address - Phone:502-890-6020
Mailing Address - Fax:
Practice Address - Street 1:2006 HEALTH CAMPUS DR
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:VA
Practice Address - Zip Code:22801-8679
Practice Address - Country:US
Practice Address - Phone:540-689-7400
Practice Address - Fax:757-963-9617
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37558207RC0000X, 207RI0011X
IN01056916A207RI0011X
VA0101263100207RI0011X
WI589207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYP01371494OtherRR MEDICARE
WI100094863Medicaid
IN200371340Medicaid
KY64057599Medicaid
INH10863Medicare UPIN
KY64057599Medicaid
KYP400014887Medicare PIN
KYK081571Medicare PIN
KYP01371494OtherRR MEDICARE