Provider Demographics
NPI:1306889894
Name:STRAUSS, JON M (MD)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:M
Last Name:STRAUSS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:225 RICHMOND STREET, #4019
Mailing Address - Street 2:STRAUSS FAMILY PRACTICE, LLC
Mailing Address - City:MOUNT VERNON
Mailing Address - State:KY
Mailing Address - Zip Code:40456-4019
Mailing Address - Country:US
Mailing Address - Phone:606-392-2301
Mailing Address - Fax:606-392-2304
Practice Address - Street 1:210 SAINT GEORGE ST
Practice Address - Street 2:SUITE 110
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2376
Practice Address - Country:US
Practice Address - Phone:859-626-9766
Practice Address - Fax:859-626-0741
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2011-03-07
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Provider Licenses
StateLicense IDTaxonomies
KY23271207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64232713Medicaid
KYCJ2363OtherRAILROAD MEDICARE
C66950Medicare UPIN
KY0576401Medicare ID - Type Unspecified
KYCJ2363OtherRAILROAD MEDICARE
0976304Medicare ID - Type Unspecified