Organization Active NPI

John D Strausbaugh DO PA

  • Family Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1205093549
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS4468 Issued in FL
Legal business name
JOHN D STRAUSBAUGH DO PA
Practice address
9671 Gladiolus Dr
Suite 109
Fort Myers, FL 33908-7684
Phone
(239) 362-1450
Fax
(239) 985-9629
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Dr. John Dean Strausbaugh, D.O.
Title
President
Phone
(239) 362-1450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS4468 FL Primary

Addresses

Primary practice location

9671 Gladiolus Dr
Suite 109
Fort Myers, FL 33908-7684

Mailing address

9671 Gladiolus Dr
Suite 109
Fort Myers, FL 33908-7684
Phone (239) 362-1450

Other identifiers 1

IdentifierTypeStateIssuer
1821086240OtherFLNPI INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

9671 Gladiolus Dr
Ste 109110
Fort Myers, FL 33908
Phone (239) 451-6868

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1205093549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9671 GLADIOLUS DR",
            "address_2": "SUITE 109",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087684",
            "telephone_number": "239-362-1450",
            "fax_number": "239-985-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9671 GLADIOLUS DR",
            "address_2": "SUITE 109",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339087684",
            "telephone_number": "239-362-1450",
            "fax_number": "239-985-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D STRAUSBAUGH DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "STRAUSBAUGH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-362-1450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1821086240",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; 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.