Basic Information
| Provider Information | |||||||||
| NPI: | 1164411377 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TOPPER | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | MICHAEL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3470 CENTENNIAL BLVD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809074090 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7192604767 | ||||||||
| FaxNumber: | 7192604765 | ||||||||
| Practice Location | |||||||||
| Address1: | 3470 CENTENNIAL BLVD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809074090 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7192604767 | ||||||||
| FaxNumber: | 7192604765 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2005 | ||||||||
| LastUpdateDate: | 04/09/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 34429 | CO | N | Other Service Providers | Specialist | 207XS0106X | MD00038135 | WA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery |
ID Information
| ID | Type | State | Issuer | Description | TO52243 | 01 | CO | BLUE SHIELD | OTHER | 0200042677 | 01 | RAILROAD MEDICARE | OTHER | 1344290 | 05 | CO | MEDICAID |