Provider Demographics
NPI:1689623878
Name:STRAIKO-HOWERTON, AMY KATHRYN (M D)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:KATHRYN
Last Name:STRAIKO-HOWERTON
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 W NC HIGHWAY 24
Mailing Address - Street 2:
Mailing Address - City:ROSEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28382-8684
Mailing Address - Country:US
Mailing Address - Phone:910-525-5848
Mailing Address - Fax:910-525-3838
Practice Address - Street 1:304 W NC HIGHWAY 24
Practice Address - Street 2:
Practice Address - City:ROSEBORO
Practice Address - State:NC
Practice Address - Zip Code:28382-8684
Practice Address - Country:US
Practice Address - Phone:910-525-5848
Practice Address - Fax:910-525-3838
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.084339207Q00000X
NC2005-01480207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2047595Medicaid
NC141R6OtherBLUE CROSS BS PIN
NC141R6OtherNC BLUE CROSS BS PIN
NC183913OtherMED COST PREFERRED PIN
NC5902158Medicare PIN
NC141R6OtherNC BLUE CROSS BS PIN