Provider Demographics
NPI:1366428856
Name:DELL, STEVEN JONATHAN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JONATHAN
Last Name:DELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:JONATHAN
Other - Last Name:DELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:5717 BALCONES DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4203
Mailing Address - Country:US
Mailing Address - Phone:512-327-7000
Mailing Address - Fax:512-314-1660
Practice Address - Street 1:1700 S MOPAC EXPWY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-7572
Practice Address - Country:US
Practice Address - Phone:512-327-7000
Practice Address - Fax:512-314-1660
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5761207W00000X
CO37354207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1232852-03Medicaid
TX89M671OtherBLUE CROSS ANDBLUE SHIELD
VP12833OtherGE WELLNESS
MD911382OtherBLOCK VISION
NY31667-005OtherDAVIS VISION
NY32951-002OtherDAVIS VISION
TX3310785OtherBLUELINK
OHTX5761OtherEYEMED
144056100OtherFIRST CARE
TX10011895OtherAMERIGROUP
NY55343-002OtherDAVIS VISION
TX1232852-02Medicaid
TX4231191OtherAETNA
TX1232852-02Medicaid
VP12833OtherGE WELLNESS
SC180031864Medicare PIN
TX88Y382Medicare PIN