NPIMap

Individual provider Active NPI

Carl W. Steele, D.O.

  • Family Medicine Physician
  • Port Clinton, OH
National Provider Identifier
1457469751
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-005268 Issued in OH
Practice address
619 Fulton St
Port Clinton, OH 43452-2069
Phone
(419) 732-2614
Fax
(419) 734-0106
NPI assigned
Aug 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-005268 OH Primary

Addresses

Primary practice location

619 Fulton St
Port Clinton, OH 43452-2069

Mailing address

619 Fulton St
Port Clinton, OH 43452-2069
Phone (419) 732-2614

Other identifiers 2

IdentifierTypeStateIssuer
116646OtherOHANTHEM BCBS OF OHIO
0846651MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100720000077 OH Practitioner - Family Practice 5496887994 Reassigns benefits to 2 organizations
Practice locations: Port Clinton, OH

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Lakeview WellnessGroup PAC ID 1355780081, 2 clinicians

Practice addresses (Care Compare)

619 Fulton St
Suite 200
Port Clinton, OH 43452-2069
Phone (419) 732-2614

Hospital & facility affiliations

  • Magruder Hospital Hospital, Port Clinton, OH, CCN 361314
  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5268OHMDPsychologist
34-005268OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
C.Steele & Associates LLC CurrentSince Jan 11, 2015 Accepting new patients
Lakeview Wellness Family Medicine CurrentSince Mar 21, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

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

619 Fulton St
#B
Port Clinton, OH 43452

619 Fulton St
Ste 200
Port Clinton, OH 43452
Phone (419) 732-2614

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1457469751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 FULTON ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522069",
            "telephone_number": "419-732-2614",
            "fax_number": "419-734-0106"
        },
        {
            "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": "419-732-2614",
            "fax_number": "419-734-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "CARL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-005268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF OHIO",
            "identifier": "116646",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0846651",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Clinton, OH

Sources for this page

Verify at the official NPI Registry.