Provider Demographics
NPI:1326035759
Name:STRAUSS, ART J (MD)
Entity Type:Individual
Prefix:
First Name:ART
Middle Name:J
Last Name:STRAUSS
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 1:3875 GEIST RD
Mailing Address - Street 2:FAIRBANKS
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-3549
Mailing Address - Country:US
Mailing Address - Phone:907-452-3108
Mailing Address - Fax:907-452-1087
Practice Address - Street 1:1650 COWLES ST
Practice Address - Street 2:FAIRBANKS
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-5925
Practice Address - Country:US
Practice Address - Phone:907-458-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-30
Last Update Date:2008-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK1067207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD76011Medicaid
AK161395Medicare PIN
H07452Medicare UPIN
AK150914Medicare PIN