Basic Information
Provider Information
NPI: 1811974041
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEELE
FirstName: DAVID
MiddleName: A.
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 193 LOCUST ST
Address2: STE. 2
City: NORTHAMPTON
State: MA
PostalCode: 010602066
CountryCode: US
TelephoneNumber: 4135848700
FaxNumber: 4135841714
Practice Location
Address1: 193 LOCUST ST
Address2: STE. 2
City: NORTHAMPTON
State: MA
PostalCode: 010602066
CountryCode: US
TelephoneNumber: 4135848700
FaxNumber: 4135841714
Other Information
ProviderEnumerationDate: 12/29/2005
LastUpdateDate: 09/16/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/16/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X80191MAY Allopathic & Osteopathic PhysiciansPediatrics 

ID Information
IDTypeStateIssuerDescription
04-281758101MAPLAN VISTAOTHER
04-281758101MAPRIVATE HEALTHCARE SYSTEMOTHER
04-281758101MANORTH AMERICAN PREFERREDOTHER
00000002704101MABMCOTHER
04-281758101MANORTHEAST HEALTHCARE ALLIOTHER
08019101MATUFTSOTHER
133850000501MACIGNAOTHER
J1480101MABCBSMAOTHER
08019101MACONNECTICAREOTHER
1681001MAHEALTH NEW ENGLANDOTHER
04-281758101MAGREAT-WESTOTHER
04-281758101MAPIONEEROTHER
20685601MAHARVARD PILGRIMOTHER
312901205MA MEDICAID
04-281758101MANORTHEAST HEALTH DIRECTOTHER
04-281758101MACONSOLIDATEDOTHER
332599201MAAETNAOTHER


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