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
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
204F00000X5921SDY Allopathic & Osteopathic PhysiciansTransplant Surgery 
208600000XME74463FLN Allopathic & Osteopathic PhysiciansSurgery 

ID Information
IDTypeStateIssuerDescription
074914305IA MEDICAID
481L3ST01MNBLUE CROSSOTHER
HP7037601SDHEALTHPARTNERSOTHER
244461401SDARAZ/ AMERICA'S PPOOTHER
41287104793001SDPREFERRED ONEOTHER
592101SDDAKOTACAREOTHER
4602247434605NE MEDICAID
1297605ND MEDICAID
592101SDSD LICENSEOTHER
97400820005MN MEDICAID
170172801SDMEDICAOTHER
25137001SDMIDLANDS CHOICEOTHER
499370601SDBLUE CROSSOTHER
57105R01001SDWPS TRICAREOTHER
37062420001SDDEPT OF LABOROTHER
481L3ST01MNCC SYSTEMS/ BLUE PLUSOTHER


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