Provider Demographics
NPI:1063468734
Name:STEELE, JOSEPH R (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:R
Last Name:STEELE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10800 E GEDDES AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3895
Mailing Address - Country:US
Mailing Address - Phone:303-761-9190
Mailing Address - Fax:720-874-4462
Practice Address - Street 1:10800 E GEDDES AVE STE 300
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-3895
Practice Address - Country:US
Practice Address - Phone:303-761-9190
Practice Address - Fax:720-874-4462
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.00375742085R0202X
TXJ78542085R0202X
FLME1605632085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104699407Medicaid
COP00248540OtherRAILROAD MEDICARE IVLC
NMS8664Medicaid
CO300115499OtherRR RIA MCRE
KS200254270AMedicaid
CO300115497OtherRR DIA MCRE
CO300115498OtherRR MIC MCRE
MT0070737Medicaid
CO15806596Medicaid
TX199833802Medicaid
WY117445200Medicaid
TX199833801Medicaid
CO15806596Medicaid
MI104699407Medicaid
CO300115498OtherRR MIC MCRE
CO300115497OtherRR DIA MCRE
KS200254270AMedicaid
COC22594Medicare PIN
WY117445200Medicaid