1730108192 NPI number — TERRI S STEELE M.D.

Table of content: TERRI S STEELE M.D. (NPI 1730108192)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730108192 NPI number — TERRI S STEELE M.D.

Organization/Personal Information

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

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:
1730108192
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3000 SOUTHLAKE PARK
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35244-3608
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-987-0724
Provider Business Mailing Address Fax Number:
205-987-0725

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3000 SOUTHLAKE PARK
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35244-3608
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-987-0724
Provider Business Practice Location Address Fax Number:
205-987-0725
Provider Enumeration Date:
07/18/2006

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: 2084P0800X , with the licence number:  13504 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 000018551 . This is a "BLUE CROSS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: C75905 . This is a "VIVA" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 260013575 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 051525781 . This is a "BLUE CROSS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 000018551 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 051501222 . This is a "BC FEDERAL EHBP" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 330534101 . This is a "MEDICAID REHAB" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 009975965 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 051516642 . This is a "BLUE CROSS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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