Provider Demographics
NPI:1023288305
Name:STEELE, GERRI LYNN (DO)
Entity type:Individual
Prefix:
First Name:GERRI
Middle Name:LYNN
Last Name:STEELE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:GERRI
Other - Middle Name:LYNN
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1533 COMMERCE AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-9128
Mailing Address - Country:US
Mailing Address - Phone:717-960-8956
Mailing Address - Fax:717-218-7557
Practice Address - Street 1:1533 COMMERCE AVE
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-9128
Practice Address - Country:US
Practice Address - Phone:717-960-8956
Practice Address - Fax:717-218-7557
Is Sole Proprietor?:No
Enumeration Date:2008-03-03
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS015716207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30105304OtherAMERIHEALTH MERCY-WMG
PA417546OtherUPMC
PA2650879OtherHIGHMARK BLUE SHIELD
PA102626262Medicaid
PAP010630OtherGATEWAY
PA102626262Medicaid
PA2650879OtherHIGHMARK BLUE SHIELD