1801862487 NPI number — DR. AMY M STROBBE D.O.

Table of content: DR. AMY M STROBBE D.O. (NPI 1801862487)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801862487 NPI number — DR. AMY M STROBBE D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STROBBE
Provider First Name:
AMY
Provider Middle Name:
M
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KENZY
Provider Other First Name:
AMY
Provider Other Middle Name:
M
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
D.O.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1801862487
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/30/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11528 US HIGHWAY 19
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORT RICHEY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34668-1442
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-868-2151
Provider Business Mailing Address Fax Number:
727-819-8362

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9238 US HIGHWAY 19
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORT RICHEY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34668-4853
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-868-2151
Provider Business Practice Location Address Fax Number:
727-849-3483
Provider Enumeration Date:
02/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  OS9719 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2806128 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 15293802 . This is a "CITRUS GCMCII" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 280489100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7415947 . This is a "AETNA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 13449 . This is a "UNIVERSAL HEALTHCARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 15293801 . This is a "CITRUS GCMC1" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 92805 . This is a "BLUE CROSS BLUE SHIELD FLORIDA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 0436870 . This is a "GHI" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 303265 . This is a "AVMED" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: P00624890 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 280489100 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com