Provider Demographics
NPI:1821190307
Name:STRICKLER, JONATHON LEE (DPM)
Entity Type:Individual
Prefix:DR
First Name:JONATHON
Middle Name:LEE
Last Name:STRICKLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21139
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37424-0139
Mailing Address - Country:US
Mailing Address - Phone:423-559-8000
Mailing Address - Fax:423-559-8017
Practice Address - Street 1:3000 WESTSIDE DR NW
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TN
Practice Address - Zip Code:37312-3542
Practice Address - Country:US
Practice Address - Phone:423-559-8000
Practice Address - Fax:423-559-8017
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-03
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000484213ES0103X
GA799213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA035007OtherBCBS
TN4033978OtherBCBS
TN3353543Medicaid
TN3352593Medicare ID - Type Unspecified
GA4759250001Medicare NSC
GA035007OtherBCBS
GA48SCCJLMedicare ID - Type Unspecified
TN3353543Medicaid