Provider Demographics
NPI:1043262777
Name:STRAUGHN, JOHN
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:STRAUGHN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-1801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1717 6TH AVE S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1801
Practice Address - Country:US
Practice Address - Phone:800-822-8816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21234207VX0201X, 207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009941127Medicaid
AL009937009Medicaid
AL009940135Medicaid
AL051539079OtherBLUE CROSS
AL051545045OtherBLUE CROSS
AL009969385Medicaid
MS02252842Medicaid
AL051543258OtherBLUE CROSS
AL000095179OtherBLUE CROSS
AL009932913Medicaid
AL051524085OtherBLUE CROSS
AL980000261OtherRAILROAD MEDICARE
AL000095179Medicaid
AL051530561OtherBLUE CROSS
AL009911687Medicaid
AL130567Medicaid
ALH12151OtherVIVA
AL000095179Medicaid
AL130567Medicaid