Provider Demographics
NPI:1063456234
Name:VORHIES, STEVEN LEE (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:LEE
Last Name:VORHIES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 776351
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60677-6351
Mailing Address - Country:US
Mailing Address - Phone:502-588-9490
Mailing Address - Fax:502-272-5116
Practice Address - Street 1:1373 E STATE ROAD 62
Practice Address - Street 2:LEVEL 2
Practice Address - City:MADISON
Practice Address - State:IN
Practice Address - Zip Code:47250-7328
Practice Address - Country:US
Practice Address - Phone:812-801-0828
Practice Address - Fax:812-801-0344
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01043990207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200034430BMedicaid
KY7101021010Medicaid
IN200034430BMedicaid
5998427OtherAETNA
IN412840ZZOtherMEDICARE
080134570OtherMEDICARE RAILROAD
701353POtherSIHO
IN412840ZZMedicare PIN
5998427OtherAETNA
IN200034430BMedicaid