Active NPI
Clyde A Strang, M.D.
- Urology Physician
- Gettysburg, PA
National Provider Identifier
1093893448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD022090E
- Practice address
- 450 S Washington St
Suite E
Gettysburg, PA 17325-2500 - Phone
- (717) 339-3150
- Fax
- (717) 339-3149
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD022090E | PA | Primary |
Addresses
Primary practice location
450 S Washington St
Suite E
Gettysburg, PA 17325-2500
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 339-3150
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50011377 | Other | PA | CAPITAL BLUECROSS |
| 664700 | Other | PA | HIGHMARK BLUESHIELD |
| 00101249 | Medicaid | PA | |
| 0010124090005 | Medicaid | PA | |
| PO1736540 | Other | PA | RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD022090E | PA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1093893448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-339-3150",
"fax_number": "717-339-3149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 S WASHINGTON ST",
"address_2": "SUITE E",
"city": "GETTYSBURG",
"state": "PA",
"postal_code": "173252500",
"telephone_number": "717-339-3150",
"fax_number": "717-339-3149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRANG",
"first_name": "CLYDE",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD022090E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUECROSS",
"identifier": "50011377",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUESHIELD",
"identifier": "664700",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00101249",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0010124090005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "PO1736540",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gettysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.