Provider Demographics
NPI:1851340525
Name:STRASBURGER, SCOTT EDWIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:EDWIN
Last Name:STRASBURGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7121 STEPHANIE LN
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-5359
Mailing Address - Country:US
Mailing Address - Phone:402-466-0100
Mailing Address - Fax:402-466-0458
Practice Address - Street 1:7121 STEPHANIE LN
Practice Address - Street 2:SUITE 100
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-5359
Practice Address - Country:US
Practice Address - Phone:402-466-0100
Practice Address - Fax:402-466-0458
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE20145207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO209332006Medicaid
NE47070309913Medicaid
MO209332006Medicaid
NEG05009Medicare UPIN