Basic Information
| Provider Information | |||||||||
| NPI: | 1831393461 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEIGER | ||||||||
| FirstName: | IRWIN | ||||||||
| MiddleName: | H. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1130 W PRAIRIE AVE | ||||||||
| Address2: | |||||||||
| City: | COEUR D ALENE | ||||||||
| State: | ID | ||||||||
| PostalCode: | 838158780 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2082090288 | ||||||||
| FaxNumber: | 2082090289 | ||||||||
| Practice Location | |||||||||
| Address1: | 2610 E SPYGLASS CT | ||||||||
| Address2: | |||||||||
| City: | COEUR D ALENE | ||||||||
| State: | ID | ||||||||
| PostalCode: | 838157946 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2087461383 | ||||||||
| FaxNumber: | 2082984520 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2007 | ||||||||
| LastUpdateDate: | 05/10/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | C29102 | CA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | M-9060 | ID | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD60001789 | WA | N | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1831393461 | 05 | ID | MEDICAID | 1831393461 | 01 | ID | REGENCE BLUE SHIELD | OTHER | 258489 | 01 | WA | WA LABOR & INDUSTRIES | OTHER | 78191 | 01 | ID | BC/ID | OTHER | 2004664 | 05 | WA | MEDICAID | P00843956 | 01 | ID | MEDICARE RR | OTHER |