Healthcare Provider Details

I. General information

NPI: 1205810371
Provider Name (Legal Business Name): STEVEN JAMES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2005
Last Update Date: 02/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 S GREENWOOD SPRINGS BLVD SUITE 201
GREENWOOD IN
46143-6479
US

IV. Provider business mailing address

8333 NAAB RD SUITE 250
INDIANAPOLIS IN
46260-5924
US

V. Phone/Fax

Practice location:
  • Phone: 317-396-1300
  • Fax: 317-396-1419
Mailing address:
  • Phone: 317-396-1300
  • Fax: 317-396-1346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number01039373A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: