Provider Demographics
NPI:1619927134
Name:STRAUSBAUGH, PAUL L (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:L
Last Name:STRAUSBAUGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 609
Mailing Address - Street 2:4095 MCKINNEY HOLLOW RD.
Mailing Address - City:CLIFTON FORGE
Mailing Address - State:VA
Mailing Address - Zip Code:24422-0609
Mailing Address - Country:US
Mailing Address - Phone:540-862-6744
Mailing Address - Fax:540-862-6749
Practice Address - Street 1:1 ARH LANE
Practice Address - Street 2:SUITE 103
Practice Address - City:LOW MOOR
Practice Address - State:VA
Practice Address - Zip Code:24457
Practice Address - Country:US
Practice Address - Phone:540-862-6744
Practice Address - Fax:540-862-6749
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101034353207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0101101000Medicaid
VA005850738Medicaid
VA005850738Medicaid
VA040000486Medicare PIN