Provider Demographics
NPI:1326028291
Name:STRONG, CAROL A (DPM)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:A
Last Name:STRONG
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:196 STATE ROUTE 124
Mailing Address - Street 2:
Mailing Address - City:NEW VIENNA
Mailing Address - State:OH
Mailing Address - Zip Code:45159-9552
Mailing Address - Country:US
Mailing Address - Phone:937-685-9187
Mailing Address - Fax:937-685-9187
Practice Address - Street 1:196 STATE ROUTE 124
Practice Address - Street 2:
Practice Address - City:NEW VIENNA
Practice Address - State:OH
Practice Address - Zip Code:45159-9552
Practice Address - Country:US
Practice Address - Phone:937-685-9187
Practice Address - Fax:937-685-9187
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-18
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH36-00-3123213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHA10028265OtherPHCS
OH2099634Medicaid
OH020560473OtherGREAT WEST HEALTHCARE
OH7115009OtherAETNA US HEALTHCARE
OH8644131.001OtherCIGNA
OH020560473OtherHUMANA
OH27-90116OtherUNITED HEALTHCARE
OH000000293461OtherANTHEM BLUE CROSS & BLUE
OH7115009OtherAETNA US HEALTHCARE
OHU75859Medicare UPIN
OH2099634Medicaid
4653190001Medicare NSC