Organization Active NPI

C.Steele & Associates LLC

  • General Practice Physician
  • Port Clinton, OH
National Provider Identifier
1053709055
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
C.STEELE & ASSOCIATES LLC
Practice address
619 Fulton St
Port Clinton, OH 43452-2069
Phone
(419) 967-6765
NPI assigned
Dec 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shoshana Eisenstein, RN,MS,NP-CNPI 1861620973
Title
NP
Phone
(419) 967-6765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X OH Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X OH

Addresses

Primary practice location

619 Fulton St
Port Clinton, OH 43452-2069

Mailing address

PO Box 115
Port Clinton, OH 43452-0115
Phone (419) 732-2615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150306002017 OH Part B Supplier - Clinic/Group Practice 9537485685 Receives reassigned benefits from 2 practitioners
Practice locations: Port Clinton, OH

National Provider Directory

National Provider Directory

Locations

619 Fulton St
Port Clinton, OH 43452
Phone (419) 732-2614

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1053709055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434520115",
            "telephone_number": "419-732-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 FULTON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522069",
            "telephone_number": "419-967-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.STEELE & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "EISENSTEIN",
        "authorized_official_first_name": "SHOSHANA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "419-967-6765",
        "authorized_official_credential": "RN,MS,NP-C"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Clinton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.