Provider Demographics
NPI:1427070838
Name:STRAUSBAUGH, STEVEN D (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:D
Last Name:STRAUSBAUGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:890 W MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:OH
Mailing Address - Zip Code:44041-1237
Mailing Address - Country:US
Mailing Address - Phone:440-593-0197
Mailing Address - Fax:216-201-7892
Practice Address - Street 1:840 W MAIN ST SUITE 201
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:OH
Practice Address - Zip Code:44041
Practice Address - Country:US
Practice Address - Phone:440-593-0197
Practice Address - Fax:216-201-7892
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35078306207RP1001X
OH35-0783062080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1018439940001OtherPA MEDICAID
OH2429992Medicaid
OH000000388400OtherANTHEM
OH2429992OtherBCMH
OH000000221307OtherUNISON
OH364057OtherWELLCARE
OH000000526135OtherANTHEM
MI1427070838OtherMI MEDICAID
WV3810011487OtherWV MEDICAID
OH744996OtherBUCKEYE
OH7264465OtherAETNA
OH000000526135OtherANTHEM
OH744996OtherBUCKEYE
OHST4109016Medicare PIN