Basic Information
Provider Information | |||||||||
NPI: | 1043209760 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | STEERS | ||||||||
FirstName: | JEFFERY | ||||||||
MiddleName: | L | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 2400 S. MINNESOTA AVE | ||||||||
Address2: | STE. 100 | ||||||||
City: | SIOUX FALLS | ||||||||
State: | SD | ||||||||
PostalCode: | 571053762 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6053227510 | ||||||||
FaxNumber: | 6053226475 | ||||||||
Practice Location | |||||||||
Address1: | 1315 S. CLIFF AVE. | ||||||||
Address2: | STE. 1100 | ||||||||
City: | SIOUX FALLS | ||||||||
State: | SD | ||||||||
PostalCode: | 571051057 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6053227350 | ||||||||
FaxNumber: | 6053227351 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 10/15/2005 | ||||||||
LastUpdateDate: | 04/04/2014 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 204F00000X | 5921 | SD | Y |   | Allopathic & Osteopathic Physicians | Transplant Surgery |   | 208600000X | ME74463 | FL | N |   | Allopathic & Osteopathic Physicians | Surgery |   |
ID Information
ID | Type | State | Issuer | Description | 0749143 | 05 | IA |   | MEDICAID | 481L3ST | 01 | MN | BLUE CROSS | OTHER | HP70376 | 01 | SD | HEALTHPARTNERS | OTHER | 2444614 | 01 | SD | ARAZ/ AMERICA'S PPO | OTHER | 412871047930 | 01 | SD | PREFERRED ONE | OTHER | 5921 | 01 | SD | DAKOTACARE | OTHER | 46022474346 | 05 | NE |   | MEDICAID | 12976 | 05 | ND |   | MEDICAID | 5921 | 01 | SD | SD LICENSE | OTHER | 974008200 | 05 | MN |   | MEDICAID | 1701728 | 01 | SD | MEDICA | OTHER | 251370 | 01 | SD | MIDLANDS CHOICE | OTHER | 4993706 | 01 | SD | BLUE CROSS | OTHER | 57105R010 | 01 | SD | WPS TRICARE | OTHER | 370624200 | 01 | SD | DEPT OF LABOR | OTHER | 481L3ST | 01 | MN | CC SYSTEMS/ BLUE PLUS | OTHER |