Provider Demographics
NPI:1033183454
Name:STEELMAN, MICHAEL T (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:T
Last Name:STEELMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 S 2ND ST STE 2F
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1612
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:250 COLLEGE AVE STE 302
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3363
Practice Address - Country:US
Practice Address - Phone:717-291-8512
Practice Address - Fax:717-291-8547
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2020-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102203104207Q00000X
PAOS005628-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA03066801OtherCAPITAL BLUE CROSS
VA1033183454Medicaid
PA11781570005Medicaid
PA080036290OtherRAILROAD MEDICARE
PA082334OtherPENNSYLVANIA BLUE SHIELD
PA080036290OtherRAILROAD MEDICARE
PA082334Medicare ID - Type Unspecified