=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669114633
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JONATHAN IAN STEINHURST MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/11/2022
-----------------------------------------------------
Last Update Date | 07/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8901 WISCONSIN AVE AMERICA BUILDING 5TH FLOOR
-----------------------------------------------------
City | BETHESDA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20889-5600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-295-5165
-----------------------------------------------------
Fax | 301-295-5170
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8901 WISCONSIN AVE AMERICA BUILDING 5TH FLOOR
-----------------------------------------------------
City | BETHESDA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20889-5600
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-295-5165
-----------------------------------------------------
Fax | 301-295-5170
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number | 202400807
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------