Healthcare Provider Details

I. General information

NPI: 1942265970
Provider Name (Legal Business Name): STEVEN J MCCABE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 11/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 E BROADWAY STE 195
LOUISVILLE KY
40202-1703
US

IV. Provider business mailing address

PO BOX 950202
LOUISVILLE KY
40295-0202
US

V. Phone/Fax

Practice location:
  • Phone: 502-629-4263
  • Fax: 502-629-4282
Mailing address:
  • Phone: 502-969-6552
  • Fax: 502-212-1358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number24767
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: