Active NPI
Mark A Steinhauser, MD
- Family Medicine Physician
- Maplewood, MN
National Provider Identifier
1578570271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24029
- Practice address
- 2716 Upper Afton Rd E
Maplewood, MN 55119-4793 - Phone
- (651) 739-5050
- Fax
- (651) 739-7393
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24029 | MN | Primary |
Addresses
Primary practice location
2716 Upper Afton Rd E
Maplewood, MN 55119-4793
Mailing address
2025 Sloan PL
Ste 35
Saint Paul, MN 55117-2007
Phone (651) 772-1572
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115895300 | Medicaid | MN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24029 | MN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1578570271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 SLOAN PL",
"address_2": "STE 35",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551172007",
"telephone_number": "651-772-1572",
"fax_number": "651-772-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 UPPER AFTON RD E",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551194793",
"telephone_number": "651-739-5050",
"fax_number": "651-739-7393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEINHAUSER",
"first_name": "MARK",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "24029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115895300",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.