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NPI Code Detail

MEDICARE: STEVEN L HOSSLER M.D.

MEDICARE: STEVEN L HOSSLER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician01034289AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000084887OTHERINBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4000000012713OTHERENCORE
5300010252OTHERTRAVELERS
6006895400OTHERINBLACK LUNG
71414OTHERPHP

General Provider Information

NPI Number : 1124002746
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN L HOSSLER M.D.
Provider Business Mailing Address
First Line : 6119 W JEFFERSON BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-3072
Country : US
Telephone Number : 260-432-1568
Fax Number : 260-432-4969
Provider Business Practice Location Address
First Line : 6119 W JEFFERSON BLVD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-3072
Country : US
Telephone Number : 260-432-1568
Fax Number : 260-432-4969
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 01/21/2009

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Directions to “ STEVEN L HOSSLER M.D.” Practice Location

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