Provider Demographics
NPI:1063462992
Name:HENDLER, STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:HENDLER
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 1:11111 NALL AVE
Mailing Address - Street 2:#222
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1625
Mailing Address - Country:US
Mailing Address - Phone:913-338-5448
Mailing Address - Fax:913-317-8340
Practice Address - Street 1:11111 NALL AVE
Practice Address - Street 2:# 222
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1625
Practice Address - Country:US
Practice Address - Phone:913-338-5448
Practice Address - Fax:913-317-8340
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO102443208100000X
KS04-24433208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
404065OtherBC BS OF KS
4662708OtherAETNA
KS250013267OtherRAILROAD MEDICARE PIN
0669109004OtherCIGNA
2196144OtherAETNA
KS250013268OtherRAILROAD MEDICARE PIN
MO250013266OtherRAILROAD MEDICARE PIN
MO250013266OtherRAILROAD MEDICARE PIN
404065OtherBC BS OF KS
KS250013268OtherRAILROAD MEDICARE PIN
MOL754158AMedicare PIN