Active NPI
Pamela Lee Steinberger, NP
- Adult Health Nurse Practitioner
- Logansport, IN
National Provider Identifier
1497905376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 71002645A
- Practice address
- 1025 Michigan Ave
Suite LL15
Logansport, IN 46947-1593 - Phone
- (574) 753-1739
- Fax
- (574) 753-1549
- NPI assigned
- Sep 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 71002645A | IN | Primary |
Addresses
Primary practice location
1025 Michigan Ave
Suite LL15
Logansport, IN 46947-1593
Mailing address
1025 Michigan Avenue
Suite LL15
Logansport, IN 46947-1595
Phone (574) 753-1739
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000588719 | Other | IN | ANTHEM |
| 200921710 | Medicaid | IN |
Other names 1
- Pamela L Dodt
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002645A | IN | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Logansport Hospital, Inc. | Past | Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/62ec6f7d-af4b-46d8-93b5-703ae9be8c7e/
- https://arrprd.mhhcc.org/OAuth2/api/FHIR/R4/
Organizations & group practices 2
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.
-
- Ambulance
- Logansport, IN
- NPI 1154301661
-
- Rural Health Clinic/Center
- Peru, IN
- NPI 1770248015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259107200000",
"number": "1497905376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MICHIGAN AVENUE",
"address_2": "SUITE LL15",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471595",
"telephone_number": "574-753-1739",
"fax_number": "574-753-1549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MICHIGAN AVE",
"address_2": "SUITE LL15",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471593",
"telephone_number": "574-753-1739",
"fax_number": "574-753-1549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEINBERGER",
"first_name": "PAMELA",
"middle_name": "LEE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-26",
"last_updated": "2009-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "71002645A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000588719",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200921710",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "DODT",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Logansport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.