Provider Demographics
NPI:1740289602
Name:BILLS, STEVEN W (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:W
Last Name:BILLS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7910 GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43528-9661
Mailing Address - Country:US
Mailing Address - Phone:419-865-5654
Mailing Address - Fax:
Practice Address - Street 1:7910 GARDEN RD
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:OH
Practice Address - Zip Code:43528-9661
Practice Address - Country:US
Practice Address - Phone:419-410-3039
Practice Address - Fax:866-441-1150
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35069103207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2039430Medicaid
MI2039430Medicaid
OH2039430Medicaid
OH000000550241OtherANTHEM BLUE CROSS BLUE SHIELD
OHBI7303331Medicare ID - Type Unspecified
OH2039430Medicaid
MI2039430Medicaid
OHP00649357Medicare PIN
OHBI0823242Medicare PIN