Healthcare Provider Details

I. General information

NPI: 1174531602
Provider Name (Legal Business Name): STEVEN M JULIUS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: STEVEN MARC JULIUS

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 AIRPORT RD
ARDEN NC
28704-8402
US

IV. Provider business mailing address

220 5TH AVE E
HENDERSONVILLE NC
28792-4377
US

V. Phone/Fax

Practice location:
  • Phone: 828-698-2979
  • Fax: 828-233-1679
Mailing address:
  • Phone: 828-692-4289
  • Fax: 828-696-1794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number2016-00081
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number044252
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2016-00081
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier000907226
Identifier TypeMEDICAID
Identifier StateGA
Identifier Issuer
# 2
Identifier890201Q
Identifier TypeMEDICAID
Identifier StateNC
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: