Provider Demographics
NPI:1659364156
Name:STEEL, JOHN GRIFFITH (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:GRIFFITH
Last Name:STEEL
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:PO BOX 12248
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28561-2248
Mailing Address - Country:US
Mailing Address - Phone:252-637-7860
Mailing Address - Fax:252-638-7865
Practice Address - Street 1:2861 TRENT RD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2029
Practice Address - Country:US
Practice Address - Phone:252-637-7860
Practice Address - Fax:252-638-7865
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC287002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC79521OtherBLUE CROSS
NC8979521Medicaid
NC8979521Medicaid
C03757Medicare UPIN
NC210668FMedicare PIN