NPIMap

Organization Active NPI

Dr E.L. Strotheide LTD

  • Chiropractor
  • Granite City, IL
National Provider Identifier
1164523338
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR E.L. STROTHEIDE LTD
Practice address
3412 Nameoki Road
Granite City, IL 62040
Phone
(618) 876-7800
Fax
(618) 876-7850
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Dr. Jason L Strotheide, DC
Title
President
Phone
(618) 876-7800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 006145 MO
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

3412 Nameoki Road
Granite City, IL 62040

Mailing address

3412 Nameoki Road
Granite City, IL 62040
Phone (618) 876-7800

Other identifiers 1

IdentifierTypeStateIssuer
06023887OtherBCBS OF IL

National Provider Directory

National Provider Directory

Locations

3412 Nameoki Rd
Granite City, IL 62040
Phone (618) 876-7800

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1164523338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 NAMEOKI ROAD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "62040",
            "telephone_number": "618-876-7800",
            "fax_number": "618-876-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3412 NAMEOKI ROAD",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "62040",
            "telephone_number": "618-876-7800",
            "fax_number": "618-876-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR E.L. STROTHEIDE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "STROTHEIDE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-876-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "006145",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "06023887",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.