Provider Demographics
NPI:1205822871
Name:STRICKLAND, R. TODD (MD)
Entity Type:Individual
Prefix:DR
First Name:R. TODD
Middle Name:
Last Name:STRICKLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 E MANSFIELD ST
Mailing Address - Street 2:
Mailing Address - City:BUCYRUS
Mailing Address - State:OH
Mailing Address - Zip Code:44820-1960
Mailing Address - Country:US
Mailing Address - Phone:419-563-0300
Mailing Address - Fax:419-562-2098
Practice Address - Street 1:1323 E MANSFIELD ST
Practice Address - Street 2:
Practice Address - City:BUCYRUS
Practice Address - State:OH
Practice Address - Zip Code:44820-1960
Practice Address - Country:US
Practice Address - Phone:419-563-0300
Practice Address - Fax:419-563-0500
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35068424S207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00121493OtherMEDICARE RAILROAD
OH2466442Medicaid
OHST4118751Medicare PIN
OHP00121493OtherMEDICARE RAILROAD