Provider Demographics
NPI:1013962935
Name:STRANG, ROBERT D (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:D
Last Name:STRANG
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:PO BOX 9434
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65801-9434
Mailing Address - Country:US
Mailing Address - Phone:417-885-3888
Mailing Address - Fax:417-881-7638
Practice Address - Street 1:3801 S NATIONAL AVE
Practice Address - Street 2:WEST TOWER, SUITE 700
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5210
Practice Address - Country:US
Practice Address - Phone:417-885-3888
Practice Address - Fax:417-881-7638
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-29148207T00000X
ARE2534207T00000X
MO2002004012207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0214844OtherDEPARTMENT OF LABOR WA
MO18942OtherCOX HEALTH PLANS
MOH19896OtherUSPS (W/C)
MO0604585OtherUNITED HEALTHCARE
AR140239001Medicaid
MO205386915Medicaid
AR5L489OtherARKANSAS FIRST SOURCE
MO15485OtherCOX HEALTH PLANS UPI
AR5L489OtherHEALTH ADVANTAGE
MO4188130001OtherCIGNA MEDICARE
MO463251OtherHEALTHLINK
MO155496OtherBLUE CROSS/CHOICE
AR5L489OtherARKANSAS BC/BS
MO8452127004OtherCIGNA HEALTHCARE
MO18826000000OtherQUAL CHOICE
MO009013401Medicare NSC
MOMA3059002Medicare PIN
MO463251OtherHEALTHLINK
AR5L489Medicare PIN
MO009013401Medicare PIN
AR5L489OtherARKANSAS FIRST SOURCE
MO8452127004OtherCIGNA HEALTHCARE
AR5AH63C687Medicare PIN