Healthcare Provider Details

I. General information

NPI: 1407812217
Provider Name (Legal Business Name): STEVEN IRISH HIGHTOWER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1612 E LAKEVIEW AVE
PENSACOLA FL
32503-5774
US

IV. Provider business mailing address

1612 E LAKEVIEW AVE
PENSACOLA FL
32503-5774
US

V. Phone/Fax

Practice location:
  • Phone: 504-427-7254
  • Fax: 985-318-0157
Mailing address:
  • Phone: 504-427-7254
  • Fax: 985-318-0157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberME127558
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD173309
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: