Provider Demographics
NPI:1982681870
Name:STRAWTHER, PHILIP ARLEDGE (MD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:ARLEDGE
Last Name:STRAWTHER
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 1:16627 BIRKDALE COMMONS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-5617
Mailing Address - Country:US
Mailing Address - Phone:704-892-1101
Mailing Address - Fax:704-892-1898
Practice Address - Street 1:16627 BIRKDALE COMMONS PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-5617
Practice Address - Country:US
Practice Address - Phone:704-892-1101
Practice Address - Fax:704-892-1898
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-30
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC39109208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
13 41698OtherUNITED HEALTHCARE
NC39109OtherNC MEDICAL BOARD
80272OtherBCBS STATE HEALTH PLAN
4277020OtherAETNA HMO PPO POS
15069OtherPARTNERS MEDICARE CHOICE
6457570OtherCIGNA
SCN39109Medicaid
P00102629OtherMEDICARE UHC RAILROAD
15069OtherMEDICARE ADVANTAGE HMO
709032OtherFIRST HEALTH
NC80272OtherNC BLUE CROSS BLUE SHIEL
0292OtherONE HEALTH PLAN
86033OtherCIGNA MEDICARE ACCESS
NC8980272Medicaid
P00102629OtherMEDICARE UHC RAILROAD
NC80272OtherNC BLUE CROSS BLUE SHIEL