Provider Demographics
NPI:1275505315
Name:STRIPH, GERALD G (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:G
Last Name:STRIPH
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 1:333 N SUMMIT ST FL 7
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1531
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3330 MEIJER DR STE 1
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43617-3103
Practice Address - Country:US
Practice Address - Phone:419-578-2020
Practice Address - Fax:419-539-6323
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35058083207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0800960OtherUNITED HEALTHCARE
OH4080508OtherAETNA
OH0742932Medicaid
OH000000121698OtherANTHEM
OH00614OtherPARAMOUNT
OH311550308004OtherCIGNA
MI3401658Medicaid
OH4080508OtherAETNA
OH0742932Medicaid
OH1183130001OtherADMINASTAR
OH0640382Medicare PIN
OH000000121698OtherANTHEM
OH180030092Medicare ID - Type UnspecifiedRAILROAD
OHE33912Medicare UPIN