Individual provider Active NPI

Gary David Strasberg, M.D.

  • Internal Medicine Physician
  • Cordova, TN
National Provider Identifier
1124032289
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD 10075 Issued in TN
Practice address
2551 Ashburton PL N
Cordova, TN 38016-4617
Phone
(901) 275-4922
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD 10075 TN Primary

Addresses

Primary practice location

2551 Ashburton PL N
Cordova, TN 38016-4617

Mailing address

2551 Ashburton PL N
Cordova, TN 38016-4617
Phone (901) 382-4739

Other identifiers 1

IdentifierTypeStateIssuer
3842676MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 10075TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Eye Center, PLLC PastSince Jun 1, 2018 Accepting new patients
McNairy Clinic Corp Internal Medicine Past Accepting new patients
Primary Care PLLC Past Accepting new patients
Chest Pain Observation, PLLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1124032289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 ASHBURTON PL N",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164617",
            "telephone_number": "901-382-4739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 ASHBURTON PL N",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164617",
            "telephone_number": "901-275-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRASBERG",
        "first_name": "GARY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD 10075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3842676",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.