Provider Demographics
NPI:1063502441
Name:G. MICHAEL STEELMAN, M.D., INC.
Entity type:Organization
Organization Name:G. MICHAEL STEELMAN, M.D., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:STEELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-755-4600
Mailing Address - Street 1:13301 N. MERIDIAN AVENUE
Mailing Address - Street 2:BUILDING 400
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73120-9310
Mailing Address - Country:US
Mailing Address - Phone:405-755-4600
Mailing Address - Fax:405-755-4837
Practice Address - Street 1:13301 N. MERIDIAN AVENUE
Practice Address - Street 2:BUILDING 400
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-9310
Practice Address - Country:US
Practice Address - Phone:405-755-4600
Practice Address - Fax:405-755-4837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10172174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK445462218001OtherBCBSOK PROVIDER #
OKC95522Medicare UPIN