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Export Provider Record NPI 1336120039
Steven Peter NollDO
Active
NPI Number1336120039
NPI TypeNPI-1 Individual
SpecialtyAnesthesiology
Provider Details
NPI1336120039
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2005-11-09
Last Updated2008-02-20
Mailing Address20 Medical Villiage Dr, Ste 258
Edgewood, KY 41017
United States
Phone: (859) 341-7246 | Fax: (859) 341-7867
📍 View Map
Primary Practice Address1 Medical Village Dr, Independent Anesthesiologists Psc
Edgewood, KY 41017-3403
United States
Phone: (859) 341-7246 | Fax: (859) 341-7867
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)-000000033280Anthem Blue Shield
Other (non-Medicare)OH0958870Medicaid
Other (non-Medicare)-10826428CAQH
MEDICAIDIN200000770-
Other (non-Medicare)-2532691Cigna
MEDICAIDKY64022007-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207L00000X – AnesthesiologyKY02200
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About NPI 1336120039

Steven Peter Noll DO is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1336120039. The primary specialty listed is Anesthesiology. The provider is located in Edgewood, KY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-11-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1336120039?

NPI 1336120039 belongs to Steven Peter Noll DO, a Anesthesiology in Edgewood, KY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1336120039 active?

The current status of NPI 1336120039 in the NPPES registry is Active. The record was last updated on 2008-02-20.

What specialty is NPI 1336120039?

NPI 1336120039 is classified under the taxonomy Anesthesiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1336120039?

You can verify NPI 1336120039 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1336120039?

The primary practice address on file for NPI 1336120039 is 1 Medical Village Dr, Edgewood, KY 41017-3403. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1336120039 issued?

NPI 1336120039 was first issued (enumerated) on 2005-11-09. The NPPES record was last updated on 2008-02-20.

Practice Location Map

Steven Peter Noll is located at 1 Medical Village Dr, Edgewood, KY. Use the map below to find directions or verify the practice location.

📍 1 Medical Village Dr, Edgewood, KY 41017-3403  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Steven Peter Noll. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1336120039. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Anesthesiology02200KY
Data Verified from CMS NPPES Last synced: 2026-08-10 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162