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NPI Code Detail

MEDICARE: DR. CHRISTOPHER C STEFFY MD

MEDICARE: DR. CHRISTOPHER C STEFFY 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
1207P00000XEmergency Medicine Physician01041616AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000082529OTHERINANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4000000006890OTHERMPLAN

General Provider Information

NPI Number : 1447245832
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER C STEFFY MD
Provider Business Mailing Address
First Line : 3640 NEW VISION DRIVE
Second Line : SUITE A
City : FORT WAYNE
State : IN
Zip : 46845-1717
Country : US
Telephone Number : 260-482-4440
Fax Number : 260-482-4442
Provider Business Practice Location Address
First Line : 2200 RANDALLIA DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-4638
Country : US
Telephone Number : 260-373-4000
Fax Number : 260-482-4442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 07/05/2013

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