Steven Alan Giles, M.D.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

23060 Issued in WI

Practice address

3316 Ridgeline Dr
Waukesha, WI 53188

Phone

(262) 352-9973

Fax

(978) 291-1768

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moreland Family Medicine Associates, S.C.

  • Primary Care Clinic/Center
  • Waukesha, WI
  • NPI 1871634741
  NPD
• Proactive MD SC PA

  dba Proactive MD

  • Primary Care Clinic/Center
  • Spartanburg, SC
  • NPI 1538713813
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306919907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 RIDGELINE DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881282",
            "telephone_number": "262-352-9973",
            "fax_number": "978-291-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 RIDGELINE DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53188",
            "telephone_number": "262-352-9973",
            "fax_number": "978-291-1768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 White Pond Dr",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443204203",
            "country_code": "US",
            "telephone_number": "234-226-5038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W Saint John St, Suite #107",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293065157",
            "country_code": "US",
            "telephone_number": "864-342-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILES",
        "first_name": "STEVEN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "SC",
            "license": "52096",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "35.133627",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WI",
            "license": "23060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "52096",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "35.133627",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCES REGISTRATION",
            "identifier": "2052096",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30346300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "23060",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Gierszewski, LPC
• Breanna Gilbert, PHARM-D
• Elizabeth Ann Gilbert, RN
• Kristiane Marie Gilbert
• Laura Gildersleeve
• Benjamin C Gillen, MD
• Amanda J Gilmore, LPN
• Kate Colleen Gilson, D.D.S.
• Patrick H Ginn, M.D.
• Ellen Ashley Giordano, MD

• Sports Medicine (Family Medicine) Physician in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Sports Medicine (Family Medicine) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.