Basic Information
| Provider Information | |||||||||
| NPI: | 1023167558 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SCOTT F.STEED MD PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 24023 | ||||||||
| Address2: | |||||||||
| City: | JACKSON | ||||||||
| State: | MS | ||||||||
| PostalCode: | 392254023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6019441717 | ||||||||
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| Practice Location | |||||||||
| Address1: | 54 SERGEANT PRENTISS DR | ||||||||
| Address2: | |||||||||
| City: | NATCHEZ | ||||||||
| State: | MS | ||||||||
| PostalCode: | 391204726 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6015036456 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/10/2007 | ||||||||
| LastUpdateDate: | 12/10/2007 | ||||||||
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| AuthorizedOfficialLastName: | YOUNKINS | ||||||||
| AuthorizedOfficialFirstName: | NICOLE | ||||||||
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| AuthorizedOfficialTitleorPosition: | QUALITY ASSURANCE | ||||||||
| AuthorizedOfficialTelephone: | 6019441717 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 17915 | MS | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 05451597 | 05 | MS | MEDICAID |