Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0401X | Internist - Addiction Medicine | 35.035122 | OH |
N | 207V00000X | Obstetrician & Gynecologist | 15121 | WV |
Y | 207V00000X | Obstetrician & Gynecologist | 35-03-5122 | OH |
NPI | 1629012877 |
---|---|
Provider Name | James Craig Strafford |
First Address | Cincinnati, OH 45206-2348 |
Second Address | Wilmington, OH 45177 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 17/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000007680 | ANTHEM BCBS (01) | |
000000181636 | UNISON MEDICAID # (01) | OH |
001714045 | MOUNTAIN STATE BCBS (01) | |
0049166000 | (05) | WV |
0277847 | (05) | OH |
0277847 | MOLINA MEDICAID # (01) | OH |
160017401 | RR MEDICARE (01) | OH |
310917085137 | CARESOURCE MEDICAID # (01) | OH |
C34948 | (02) |