Individual
DR. JONATHAN R. STRAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
151 W GALBRAITH RD, DRAKE CENTER, CINCINNATI, OH 45216-1015
(513) 418-2707
(513) 418-2698
Mailing address
260 STETSON STREET, ML 0530 SUITE 5200, CINCINNATI, OH 45267-0530
(513) 558-2919
(513) 558-4458
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35-082255
OH
2081P0004X
Spinal Cord Injury Medicine Physician
35-082255
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000277821
ANTHEM
—
01
—
10799933
CAQH
—
05
—
2432308
—
OH
05
—
64073893
—
KY
Enumeration date
06/30/2006
Last updated
07/20/2007
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