Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Steven L Wallentine, MD

Individual provider Hematology & Oncology Physician · NPI 1790736122

Steven L Wallentine, MD is a Hematology/Oncology in Provo, Utah. Qualified in 2000, 26 years ago. Practices with Revere Health PC, a 410-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
26
Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1055 N 500 W Ste 202
Provo, UT 84604-3305
Phone: (801) 374-2367
Fax: (801) 429-8015
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 60986311205 (UT)

Record details

NPI number1790736122
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESNovember 27, 2023
Certification dateFebruary 12, 2020
Mailing address1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Provo