Provider Demographics
NPI:1225002702
Name:STEINBERG, FREDERICK B (MD)
Entity type:Individual
Prefix:
First Name:FREDERICK
Middle Name:B
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4200 UNIVERSITY AVE
Mailing Address - Street 2:STE 104
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-5945
Mailing Address - Country:US
Mailing Address - Phone:515-961-0453
Mailing Address - Fax:515-961-2714
Practice Address - Street 1:12368 STRATFORD DR
Practice Address - Street 2:STE 300
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-8162
Practice Address - Country:US
Practice Address - Phone:515-226-9810
Practice Address - Fax:515-226-8408
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN471072085R0202X
IA406532085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN231074100Medicaid
FL148FFOtherBLUE CROSS BLUE SHIELD OF FLORIDA
AL1548291628OtherALABAMA MEDICAID PROGRAM
FLDF053ZOtherMEDICARE
FL002201700Medicaid
I14385Medicare UPIN
MN231074100Medicaid
FL002201700Medicaid
FL148FFOtherBLUE CROSS BLUE SHIELD OF FLORIDA