Healthcare Provider Details

I. General information

NPI: 1396737029
Provider Name (Legal Business Name): STEVEN R TONEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4879 US HIGHWAY 68 S
WEST LIBERTY OH
43357-9525
US

IV. Provider business mailing address

212 E COLUMBUS AVE STE 1
BELLEFONTAINE OH
43311-2033
US

V. Phone/Fax

Practice location:
  • Phone: 937-599-1411
  • Fax: 937-599-4128
Mailing address:
  • Phone: 937-599-1411
  • Fax: 304-637-3435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.144626
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number18214
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: