Provider Demographics
NPI:1942237888
Name:STROTT, WILLIAM ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:ANTHONY
Last Name:STROTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 PEMBERTON DR
Mailing Address - Street 2:STE 102
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-2483
Mailing Address - Country:US
Mailing Address - Phone:410-749-8300
Mailing Address - Fax:410-860-9007
Practice Address - Street 1:1205 PEMBERTON DR
Practice Address - Street 2:STE 102
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-2483
Practice Address - Country:US
Practice Address - Phone:410-749-8300
Practice Address - Fax:410-860-9007
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0033437208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
331015896OtherBCBS OF DELAWARE
S4610002OtherCAREFIRST BLUE CHOICE
331015896OtherHUMANA
331015896OtherNCPPO
33123OtherPRIORITY PARTNERS
52075109OtherCAREFIRST BCBS OF MARYLAN
331015896OtherTRICARE
331015896OtherACORDIA NATIONAL PERDUE
MD479421400Medicaid
181300OtherCOVENTRY
S4610002OtherBCBS FEDERAL
899648OtherAETNA HMO
331015896OtherINFORMED
33123OtherJOHN HOPKINS LLC EHP
4459731OtherAETNA NON HMO
B70838Medicare UPIN