Individual
JAMES CRAIG STRAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
485 W MAIN ST, WILMINGTON, OH 45177
(513) 834-7063
(513) 873-1567
Mailing address
446 MORGAN ST, CINCINNATI, OH 45206-2348
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
35.035122
OH
207V00000X
Obstetrics & Gynecology Physician
15121
WV
207V00000X
Obstetrics & Gynecology Physician
Primary
35-03-5122
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007680
ANTHEM BCBS
—
01
—
000000181636
UNISON MEDICAID #
OH
01
—
001714045
MOUNTAIN STATE BCBS
—
05
—
0049166000
—
WV
01
—
0277847
MOLINA MEDICAID #
OH
05
—
0277847
—
OH
01
—
160017401
RR MEDICARE
OH
01
—
310917085137
CARESOURCE MEDICAID #
OH
Enumeration date
06/16/2006
Last updated
12/17/2019
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