1982681870 NPI number — PHILIP ARLEDGE STRAWTHER MD

Table of content: (NPI 1184384083)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982681870 NPI number — PHILIP ARLEDGE STRAWTHER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STRAWTHER
Provider First Name:
PHILIP
Provider Middle Name:
ARLEDGE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982681870
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/08/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16627 BIRKDALE COMMONS PKWY
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
HUNTERSVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28078-5617
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-892-1101
Provider Business Mailing Address Fax Number:
704-892-1898

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16627 BIRKDALE COMMONS PKWY
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
HUNTERSVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28078-5617
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-892-1101
Provider Business Practice Location Address Fax Number:
704-892-1898
Provider Enumeration Date:
12/30/2005

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: 208200000X , with the licence number:  39109 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 13 41698 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 39109 . This is a "NC MEDICAL BOARD" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 80272 . This is a "BCBS STATE HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4277020 . This is a "AETNA HMO PPO POS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 15069 . This is a "PARTNERS MEDICARE CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 6457570 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: N39109 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00102629 . This is a "MEDICARE UHC RAILROAD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 15069 . This is a "MEDICARE ADVANTAGE HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 709032 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 80272 . This is a "NC BLUE CROSS BLUE SHIEL" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 0292 . This is a "ONE HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 86033 . This is a "CIGNA MEDICARE ACCESS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 8980272 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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