MEDICARE: DR. STEVEN DESCHNER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	0101240739	VA
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	0101240739	VA
3	2081P0004X	Spinal Cord Injury Medicine Physician	0101240739	VA
4	2081N0008X	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician	0101240739	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00459771	OTHER	VA	MEDICARE RAILROAD

General Provider Information

NPI Number	:	1417165143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN DESCHNER MD

Provider Business Mailing Address
First Line	:	7489 RIGHT FLANK RD
Second Line	:	SUITE 300
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-3845
Country	:	US
Telephone Number	:	804-467-0662
Fax Number	:	804-277-3267

Provider Business Practice Location Address
First Line	:	7489 RIGHT FLANK RD
Second Line	:	SUITE 300
City	:	MECHANICSVILLE
State	:	VA
Zip	:	23116-3845
Country	:	US
Telephone Number	:	804-467-0662
Fax Number	:	804-277-3267

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	10/07/2015

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