MEDICARE: MR. STEVEN M TAUBMAN DPM

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	0103000381	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	011561	OTHER	VA	ANTHEM PROVIDER NUMBER
2	311652	OTHER	VA	MDIPA/ MAMSI PROVIDER NUM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	15422	OTHER	VA	OPTIMA PROVIDER NUMBER

General Provider Information

NPI Number	:	1295729663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN M TAUBMAN DPM

Provider Business Mailing Address
First Line	:	996 FIRST COLONIAL RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3175
Country	:	US
Telephone Number	:	757-481-6248
Fax Number	:

Provider Business Practice Location Address
First Line	:	996 FIRST COLONIAL RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3175
Country	:	US
Telephone Number	:	757-481-6248
Fax Number	:	757-481-6523

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	07/14/2009

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