Provider Demographics
NPI:1669510640
Name:STREIBERT, CLAIRE L (MD)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:L
Last Name:STREIBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:S
Other - Last Name:COONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-4083
Mailing Address - Fax:
Practice Address - Street 1:35 MONUMENT RD STE 201
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5074
Practice Address - Country:US
Practice Address - Phone:717-812-4083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012430862085R0202X
MDD0062069390200000X
PAMD4623512085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0105OtherCAREFIRST BCBS
VA0101243086OtherLICENSE
WV3810012370Medicaid
VA1914289OtherAETNA HMO
VA9471084OtherAETNA PPO
VA9471084OtherAETNA PPO
FC0705410OtherDEA
VA9471084OtherAETNA PPO