Individual provider Active NPI

Nichole Lee Steidler, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Tempe, AZ
National Provider Identifier
1962645986
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
49378 Issued in AZ
Practice address
1255 W Washington St
Tempe, AZ 85281-1210
Phone
(602) 685-5211
Fax
(602) 685-5028
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hematology (Pathology) Physician 207ZH0000X 49378 AZ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 49378 AZ Primary

Addresses

Primary practice location

1255 W Washington St
Tempe, AZ 85281-1210

Mailing address

PO Box 42210
Phoenix, AZ 85080-2210
Phone (623) 889-7403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150710002731 OR Practitioner - Pathology 3173741766 Reassigns benefits to 1 organization
I20250130003900 CA Practitioner - Pathology 3173741766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of North Dakota School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Pathology Laboratory LLCGroup PAC ID 4587827985, 12 clinicians

Practice addresses (Care Compare)

1032 E Jackson St
Medford, OR 97504-7027
Phone (541) 770-4559

2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-4191

500 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone (541) 472-7191

Hospital & facility affiliations

  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002
  • Providence Medford Medical Center Hospital, Medford, OR, CCN 380075
  • Curry General Hospital Hospital, Gold Beach, OR, CCN 381322
  • Fairchild Medical Center Hospital, Yreka, CA, CCN 051316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Pathology Laboratory, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2015 Accepting new patients
Vista Pathology Laboratory, LLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2015 Accepting new patients
Siskiyou Hospital, Inc. CurrentSince Dec 19, 2024 Accepting new patients

Locations

444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

1032 E Jackson St
Medford, OR 97504
Phone (541) 770-4559

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1962645986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850802210",
            "telephone_number": "623-889-7403",
            "fax_number": "623-889-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W WASHINGTON ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852811210",
            "telephone_number": "602-685-5211",
            "fax_number": "602-685-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIDLER",
        "first_name": "NICHOLE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "AZ",
            "license": "49378",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "49378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.