Individual
STEVEN CRAIG PEARSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35046000P
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000274279
ANTHEM
—
01
—
0119204
GROUP MEDICAID
—
05
—
0457358
—
OH
01
—
102466
KAISER
—
01
—
10797386
CAQH
—
01
—
1780634279
GROUP NPI
—
01
—
34-1783789
GROUP TAX ID
—
01
—
3610861
GROUP ASC MEDICARE
—
01
—
4007681
AETNA
—
01
—
9273172
GROUP MEDICARE
—
01
—
CA4511
RR MEDICARE GROUP
—
01
—
D368301
MEDICARE IND DIAGNOSTICS
—
01
—
P00006989
RR MEDICARE INDIVIDUAL
—
Enumeration date
02/23/2006
Last updated
04/29/2016
Update your record
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