1063468734 NPI number — JOSEPH R STEELE M.D.

Table of content: JOSEPH R STEELE M.D. (NPI 1063468734)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063468734 NPI number — JOSEPH R STEELE M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEELE
Provider First Name:
JOSEPH
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063468734
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/29/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10800 E GEDDES AVE STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ENGLEWOOD
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80112-3895
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-761-9190
Provider Business Mailing Address Fax Number:
720-874-4462

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10800 E GEDDES AVE STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ENGLEWOOD
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80112-3895
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-761-9190
Provider Business Practice Location Address Fax Number:
720-874-4462
Provider Enumeration Date:
05/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  DR.0037574 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2085R0202X , with the licence number: J7854 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2085R0202X , with the licence number: ME160563 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 104699407 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00248540 . This is a "RAILROAD MEDICARE IVLC" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: S8664 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300115499 . This is a "RR RIA MCRE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 200254270A , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 300115497 . This is a "RR DIA MCRE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 300115498 . This is a "RR MIC MCRE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".
  • Identifier: 0070737 , issued by the state of ( MT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 15806596 , issued by the state of ( CO ) . This identifiers is of the category "MEDICAID".
  • Identifier: 199833802 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 117445200 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 199833801 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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