Active NPI
Gregory Lee Steuk
- Home Modifications Contractor
- Sergeant Bluff, IA
National Provider Identifier
1356540082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 0251041
- Practice address
- 1447 220TH St
Sergeant Bluff, IA 51054-8022 - Phone
- (712) 943-5242
- NPI assigned
- Jul 12, 2007
- Last updated
- Jul 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 0251041 | IA | Primary |
Addresses
Primary practice location
1447 220TH St
Sergeant Bluff, IA 51054-8022
Mailing address
1447 220TH St
Sergeant Bluff, IA 51054-8022
Phone (712) 943-5242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0251041 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0251041 | IA | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1356540082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1447 220TH ST",
"city": "SERGEANT BLUFF",
"state": "IA",
"postal_code": "510548022",
"telephone_number": "712-943-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1447 220TH ST",
"city": "SERGEANT BLUFF",
"state": "IA",
"postal_code": "510548022",
"telephone_number": "712-943-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEUK",
"first_name": "GREGORY",
"middle_name": "LEE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-12",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "IA",
"license": "0251041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0251041",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sergeant Bluff, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.