Individual provider Active NPI

Carolyn Joy Steele, D.O.

  • Family Medicine Physician
  • Durango, CO
National Provider Identifier
1174729719
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0066203 Issued in CO
Practice address
810 E 3Rd St
Durango, CO 81301-5728
Phone
(970) 764-1790
Fax
(970) 375-7927
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2116 OK
Family Medicine Physician 207Q00000X DR.0066203 CO Primary

Addresses

Primary practice location

810 E 3Rd St
Durango, CO 81301-5728

Mailing address

2401 Southwest Blvd
Tulsa, OK 74107-2726
Phone (918) 561-5701

Other practice location 1

9645 Riverside Pkwy Ste C
Tulsa, OK 74137-7427
Phone (918) 209-5170

Other practice location 2

1205 W Main St
Collinsville, OK 74021-3114
Phone (918) 938-0040

Other practice location 3

4415 S Harvard Ave Ste 125
Tulsa, OK 74135-9700
Phone (918) 748-8111

Other identifiers 1

IdentifierTypeStateIssuer
100129610AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2116OKMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1174729719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 SOUTHWEST BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741072726",
            "telephone_number": "918-561-5701",
            "fax_number": "918-561-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E 3RD ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015728",
            "telephone_number": "970-764-1790",
            "fax_number": "970-375-7927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9645 Riverside Pkwy Ste C",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741377427",
            "country_code": "US",
            "telephone_number": "918-209-5170",
            "fax_number": "918-209-5187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 W Main St",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "OK",
            "postal_code": "740213114",
            "country_code": "US",
            "telephone_number": "918-938-0040",
            "fax_number": "918-938-0056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4415 S Harvard Ave Ste 125",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741359700",
            "country_code": "US",
            "telephone_number": "918-748-8111",
            "fax_number": "918-744-5284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEELE",
        "first_name": "CAROLYN",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2116",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0066203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100129610A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.