Steven Anthony Older, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

G7093 Issued in TX

Practice address

300 W Hospital Dr
Dwight David Eisenhower Army Medical Center
Ft. Gordon, GA 30905-5650

Phone

(706) 787-6462

Fax

(706) 787-0005

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760589089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3534 W LAKE DR",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079530",
            "telephone_number": "706-210-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HOSPITAL DR",
            "address_2": "DWIGHT DAVID EISENHOWER ARMY MEDICAL CENTER",
            "city": "FT. GORDON",
            "state": "GA",
            "postal_code": "309055650",
            "telephone_number": "706-787-6462",
            "fax_number": "706-787-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDER",
        "first_name": "STEVEN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "G7093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ina Marie Norsworthy, PHARMD
• Christopher O'Mara, DO
• Kimberly Ann Oatman, RN
• Laura Anne Obert, RD
• Frederick Paul Obrien III, M.D.
• Benigno Antonio Olivares, LMT
• Derek Christopher Oliver, PH.D.
• Christopher Olson, ATC
• Joshua Orszag
• Gloria A Oxendale

• Rheumatology Physician in Ft. Gordon, GA
• Providers in Ft. Gordon, GA by specialty
• Rheumatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.