Provider Demographics
NPI:1831179902
Name:STEINMANN, SCOTT P (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:P
Last Name:STEINMANN
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 1:979 E 3RD ST STE C430
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-3358
Mailing Address - Country:US
Mailing Address - Phone:423-778-6784
Mailing Address - Fax:
Practice Address - Street 1:979 E 3RD ST STE C430
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-3358
Practice Address - Country:US
Practice Address - Phone:423-778-6784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN59719207XS0106X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN087517100Medicaid
MN200001500Medicare ID - Type Unspecified
F95601Medicare UPIN
MN087517100Medicaid