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NPI Code Detail

MEDICARE: DR. NICOLE S STEBER M.D.

MEDICARE: DR. NICOLE S STEBER 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
1208M00000XHospitalist Physician01073661AIN
2208000000XPediatrics Physician01073661AIN

Other Identifiers

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

General Provider Information

NPI Number : 1740571157
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLE S STEBER M.D.
Provider Business Mailing Address
First Line : PO BOX 1026
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46206-1026
Country : US
Telephone Number : 317-777-6435
Fax Number : 317-777-6644
Provider Business Practice Location Address
First Line : 705 RILEY HOSPITAL DR
Second Line : RI 3530
City : INDIANAPOLIS
State : IN
Zip : 46202-5109
Country : US
Telephone Number : 317-948-2700
Fax Number : 317-962-3796
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2011
Last Update Date : 08/18/2022

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