Provider Demographics
NPI:1023302254
Name:STEELE, KATIE EILEEN (MD)
Entity type:Individual
Prefix:DR
First Name:KATIE
Middle Name:EILEEN
Last Name:STEELE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 POLARIS PKWY
Mailing Address - Street 2:SUITE 2600
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7989
Mailing Address - Country:US
Mailing Address - Phone:614-659-9519
Mailing Address - Fax:614-659-0580
Practice Address - Street 1:300 POLARIS PKWY
Practice Address - Street 2:SUITE 2600
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-7989
Practice Address - Country:US
Practice Address - Phone:614-659-9519
Practice Address - Fax:614-659-0580
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35125796207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH321730OtherMEDICARE PTAN
OH0126019Medicaid