Provider Demographics
NPI:1831163005
Name:POPLAW, STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:POPLAW
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 1:3906 OAKLAND AVE
Mailing Address - Street 2:UNIT 8252
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64508-7515
Mailing Address - Country:US
Mailing Address - Phone:816-271-6575
Mailing Address - Fax:816-271-6139
Practice Address - Street 1:5325 FARAON ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-3488
Practice Address - Country:US
Practice Address - Phone:816-271-6575
Practice Address - Fax:816-271-6139
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20050302432085R0202X
KS04316482085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200578201Medicaid
KS837137OtherBCBS KS FOR MO LOCATION
KS200371010AMedicaid
KS106143OtherBCBS KS FOR KS LOCATION
MO36620011OtherBCBS OF KANSAS CITY MO
MOP00280118OtherRR MEDICARE GROUP CK7871
MO200578201Medicaid
KS106143Medicare PIN
KS200371010AMedicaid