Provider Demographics
NPI:1417055831
Name:STRASSER, MARCIE D (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCIE
Middle Name:D
Last Name:STRASSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8250 WINTON RD
Mailing Address - Street 2:SUITE # 103
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-5916
Mailing Address - Country:US
Mailing Address - Phone:513-728-4763
Mailing Address - Fax:513-728-4762
Practice Address - Street 1:8250 WINTON RD
Practice Address - Street 2:SUITE # 103
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-5916
Practice Address - Country:US
Practice Address - Phone:513-728-4763
Practice Address - Fax:513-728-4762
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35059329208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000007471OtherANTHEM
OH0769646Medicaid
OH625373OtherAETNA INS.
OH12-20575OtherUHC INS
OH0769646Medicaid