Active NPI
Jonathan Michael Strobel, D.O.
- General Practice Physician
- Fort Campbell, KY
National Provider Identifier
1194953927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 2009006324
- Practice address
- BLDG 7973 Thunder Blvd
Ft Campbell, KY 42223 - Phone
- (573) 680-2001
- NPI assigned
- Jul 1, 2009
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 2009006324 | MO | |
| Occupational Medicine Physician | 2083X0100X | 2009006324 | MO | |
| General Practice Physician | 208D00000X | 2009006324 | MO | Primary |
Addresses
Primary practice location
BLDG 7973 Thunder Blvd
Ft Campbell, KY 42223
Mailing address
BLDG 7973 Thunder Blvd
Ft Campbell, KY 42223
Phone (573) 680-2001
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009006324 | MO | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1194953927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BLDG 7973 THUNDER BLVD",
"city": "FT CAMPBELL",
"state": "KY",
"postal_code": "42223",
"telephone_number": "573-680-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 7973 THUNDER BLVD",
"city": "FT CAMPBELL",
"state": "KY",
"postal_code": "42223",
"telephone_number": "573-680-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROBEL",
"first_name": "JONATHAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-01",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "MO",
"license": "2009006324",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MO",
"license": "2009006324",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MO",
"license": "2009006324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.