Healthcare Provider Details

I. General information

NPI: 1124050745
Provider Name (Legal Business Name): STEVEN MARC DANACEAU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 11/19/2025
Certification Date: 11/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 N GLEBE RD STE 201
ARLINGTON VA
22207-3558
US

IV. Provider business mailing address

1115 BOULDERS PARKWAY SUITE 200
NORTH CHESTERFIELD VA
23225-4067
US

V. Phone/Fax

Practice location:
  • Phone: 571-599-2406
  • Fax: 571-407-5699
Mailing address:
  • Phone: 804-560-5595
  • Fax: 804-560-9029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101840407
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: