Healthcare Provider Details

I. General information

NPI: 1700351822
Provider Name (Legal Business Name): JUSTIN ANDREW STEINKAMP MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2018
Last Update Date: 12/04/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 1ST CAPITOL DR STE 245
SAINT CHARLES MO
63301-2859
US

IV. Provider business mailing address

1606 BURNSIDE LN
SAINT CHARLES MO
63303-8437
US

V. Phone/Fax

Practice location:
  • Phone: 314-238-8848
  • Fax: 314-492-3304
Mailing address:
  • Phone: 636-226-6622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0401X
TaxonomyAddiction Medicine (Internal Medicine) Physician
License Number2018035137
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number2018035137
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number2018035137
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number2018035137
License Number StateMO
# 5
Primary TaxonomyN
Taxonomy Code207RH0005X
TaxonomyHypertension Specialist Physician
License Number2018035137
License Number StateMO
# 6
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2018035137
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: