Active NPI
Carsten P Stracke, M.D.
- Family Medicine Physician
- Saratoga Springs, NY
National Provider Identifier
1306077912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 263438
- Practice address
- 211 Church St
Saratoga Springs, NY 12866-1003 - Phone
- (518) 583-8313
- NPI assigned
- Jul 30, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 263438 | NY | Primary |
| Emergency Medicine Physician | 207P00000X | 263438 | NY | |
| Family Medicine Physician | 207Q00000X | 65651-20 | WI |
Addresses
Primary practice location
211 Church St
Saratoga Springs, NY 12866-1003
Mailing address
454 Maple Ave
Saratoga Springs, NY 12866-5532
Phone (518) 587-1141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CFP-263438-4B | Other | NY | WORKERS COMPENSATION BOARD AUTHORIZATION |
| 2100991563 | Other | NATIONAL REGISTRY OF CERTIFIED MEDICAL EXAMINERS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1306077912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 MAPLE AVE",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128665532",
"telephone_number": "518-587-1141",
"fax_number": "518-587-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 CHURCH ST",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128661003",
"telephone_number": "518-583-8313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRACKE",
"first_name": "CARSTEN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-30",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "263438",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "263438",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "65651-20",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMPENSATION BOARD AUTHORIZATION",
"identifier": "CFP-263438-4B",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL REGISTRY OF CERTIFIED MEDICAL EXAMINERS",
"identifier": "2100991563",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.