Provider Demographics
NPI:1982713533
Name:STRANKO, JUDITH M (DO)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:M
Last Name:STRANKO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1677
Mailing Address - Country:US
Mailing Address - Phone:717-231-8539
Mailing Address - Fax:717-231-8588
Practice Address - Street 1:2645 N 3RD ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-2001
Practice Address - Country:US
Practice Address - Phone:717-782-4650
Practice Address - Fax:717-782-4665
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2020-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005101L2080P0006X
PAOS-005101-L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50054768OtherCAPITAL BLUE CROSS (CAIC)
PA672165OtherFIRSTHEALTH
PA7739901OtherGATEWAY
PAST739901OtherHIGHMARK BLUE SHIELD
PA143501OtherUNISON
PA0014105220004Medicaid
PA50054768OtherCAPITAL BLUE CROSS (CAIC)
PA0014105220004Medicaid