Active NPI
David Reid Steele, MD
- General Practice Physician
- Barboursville, WV
National Provider Identifier
1265400840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 12583
- Practice address
- 1 Chateau Lane
Barboursville, WV 25504-1627 - Phone
- (304) 736-4700
- Fax
- (304) 736-4029
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12583 | WV | |
| General Practice Physician | 208D00000X | 12583 | WV | Primary |
Addresses
Primary practice location
1 Chateau Lane
Barboursville, WV 25504-1627
Mailing address
PO Box 88
5 E Alvon Road Suite 7
White Sulphur Springs, WV 24986-2373
Phone (304) 536-5030
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 613154606 | Other | WV | BLACK LUNG/FECA |
| P00804262 | Other | WV | RR MEDICARE |
| 0446842 | Medicaid | OH | |
| 7100121420 | Medicaid | KY | |
| 0049841000 | Medicaid | WV |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12583 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Medical Management Highlawn Lab | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Huntington, WV
- NPI 1831378504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318636800000",
"number": "1265400840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88",
"address_2": "5 E ALVON ROAD SUITE 7",
"city": "WHITE SULPHUR SPRINGS",
"state": "WV",
"postal_code": "249862373",
"telephone_number": "304-536-5030",
"fax_number": "304-536-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHATEAU LANE",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255041627",
"telephone_number": "304-736-4700",
"fax_number": "304-736-4029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "DAVID",
"middle_name": "REID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2011-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "12583",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WV",
"license": "12583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG/FECA",
"identifier": "613154606",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00804262",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446842",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100121420",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0049841000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barboursville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.