Healthcare Provider Details

I. General information

NPI: 1801841051
Provider Name (Legal Business Name): STEVEN E EAGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2488 N CALIFORNIA ST ALPINE ORTHOPAEDIC MEDICAL GROUP INC
STOCKTON CA
95204-5508
US

IV. Provider business mailing address

2488 N CALIFORNIA ST ALPINE ORTHOPAEDIC MEDICAL GROUP INC
STOCKTON CA
95204-5508
US

V. Phone/Fax

Practice location:
  • Phone: 209-948-3333
  • Fax: 209-948-2665
Mailing address:
  • Phone: 209-948-3333
  • Fax: 209-948-2665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG71271
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License NumberG71271
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License NumberG71271
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberG71271
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberG71271
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: