Provider Demographics
NPI:1558398537
Name:STRASBURG, DAVID (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:STRASBURG
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 1:1735 OWENSFIELD DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-9600
Mailing Address - Country:US
Mailing Address - Phone:434-531-4230
Mailing Address - Fax:
Practice Address - Street 1:AUGUSTA MEDICAL CENTER ANESTHESIA DEPT
Practice Address - Street 2:78 MEDICAL CENTER DRIVE
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939
Practice Address - Country:US
Practice Address - Phone:540-332-4329
Practice Address - Fax:540-332-4339
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2014-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA053675207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA005712921Medicaid
VA050001360Medicare PIN
VA005712921Medicaid