DR. ROBERT CLARK STEPPACHER MD NPI 1528129715

NPI Information

NPI: 1528129715
Provider Name: DR. ROBERT CLARK STEPPACHER, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
55 LAKE AVE N
DEPARTMENT OF VASCULAR SURGERY
WORCESTER, MA
ZIP 01655
Phone: (508) 856-5599
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DR. Robert Clark Steppacher, MD is a vascular surgery surgery in Worcester, MA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. DR. Robert Clark Steppacher, MD NPI is 1528129715. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 LAKE AVE N
DEPARTMENT OF VASCULAR SURGERY
WORCESTER, MA
ZIP 01655-002
Phone: (508) 856-5599
Fax: (508) 856-8239

The NPI 1528129715 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 11/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	231144	MASSACHUSETTS	Yes
2	2086S0129X	Surgery	Vascular Surgery	036.128282	ILLINOIS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110109603A	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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