Provider Demographics
NPI:1740289156
Name:STRAWBRIDGE, WENDY REPLOGLE (MD)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:REPLOGLE
Last Name:STRAWBRIDGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16000 JOHNSTON MEMORIAL DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24211
Mailing Address - Country:US
Mailing Address - Phone:276-258-2732
Mailing Address - Fax:276-258-2735
Practice Address - Street 1:16000 JOHNSTON MEMORIAL DR
Practice Address - Street 2:SUITE 300
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24211
Practice Address - Country:US
Practice Address - Phone:276-258-2732
Practice Address - Fax:276-258-2735
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101037054207V00000X
TN47787207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010393825Medicaid
VA1740289156Medicaid
TNQ017455Medicaid
VA160043185OtherRAILROAD MEDICARE
VA013329A49Medicare PIN
VA1740289156Medicaid