MEDICARE: DR. STEVEN E. MCKENZIE 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
1	207R00000X	Internal Medicine Physician	MD036838E	PA
2	207RX0202X	Medical Oncology Physician	MD036838E	PA
3	2080P0207X	Pediatric Hematology & Oncology Physician	MD036838E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568476729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN E. MCKENZIE M.D.

Provider Business Mailing Address
First Line	:	1015 CHESTNUT STREET
Second Line	:	SUITE 1321
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4310
Country	:	US
Telephone Number	:	215-955-4730
Fax Number	:	215-503-9188

Provider Business Practice Location Address
First Line	:	1015 CHESTNUT STREET
Second Line	:	SUITE 1321
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4310
Country	:	US
Telephone Number	:	215-955-4730
Fax Number	:	215-503-9188

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	07/23/2014

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Directions to “ DR. STEVEN E. MCKENZIE M.D.” Practice Location

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