Provider Demographics
NPI:1841299344
Name:STRATIS, JOHN PETER (MD)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:PETER
Last Name:STRATIS
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 1:10 CAPITAL DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110
Mailing Address - Country:US
Mailing Address - Phone:717-728-1700
Mailing Address - Fax:717-728-1701
Practice Address - Street 1:10 CAPITAL DRIVE
Practice Address - Street 2:SUITE 100
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110
Practice Address - Country:US
Practice Address - Phone:717-728-1700
Practice Address - Fax:717-728-1701
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD030682E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA475012OtherKEYSTONE HEALTH PLAN
PA251722167OtherCIGNA
PA251722167OtherMAILHANDLERS BENEFIT PLAN
PA856035OtherAETNA
PA547OtherHEALTH AMERICA
PA472685OtherHIGHMARK BLUE SHIELD
PA50000950OtherCAPITAL BLUE CROSS
PA547OtherHEALTH ASSURANCE
PA547OtherHEALTH AMERICA