Individual provider Active NPI

Harold Steiner Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Belleville, IL
National Provider Identifier
1457564239
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
124736 Issued in MO
Practice address
28 N 64TH St
Belleville, IL 62223-3808
Phone
(314) 991-0985
Fax
(908) 653-9305
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 124736 MO Primary

Addresses

Primary practice location

28 N 64TH St
Belleville, IL 62223-3808

Mailing address

PO Box 822344
Philadelphia, PA 19182-2344
Phone (314) 991-0985

Other identifiers 1

IdentifierTypeStateIssuer
124736OtherMOMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071211000034 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698864809 Reassigns benefits to 2 organizations
I20080818000170 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5698864809 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
124736MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dreamy Time Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2021 Accepting new patients
SW Anesthesia LLC CurrentSince Jan 26, 2019 Accepting new patients
Gateway Anesthesia Group LLC Past Accepting new patients
Broad Anesthesia Associates Past Accepting new patients
Midwest Anesthesia Inc. Past Accepting new patients

Locations

17300 North Outer 40 Rd
Chesterfield, MO 63005
Phone (636) 536-5158

2511 N Westwood Blvd
Ste B
Poplar Bluff, MO 63901

12345 W Bend Dr
Ste 201
Saint Louis, MO 63128
Phone (314) 722-2530

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1457564239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822344",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191822344",
            "telephone_number": "314-991-0985",
            "fax_number": "908-653-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 N 64TH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622233808",
            "telephone_number": "314-991-0985",
            "fax_number": "908-653-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINER",
        "first_name": "HAROLD",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "124736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "124736",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.