Strausburg Dermatology Group LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

STRAUSBURG DERMATOLOGY GROUP LLC

Practice address

92 S Park Blvd
Greenwood, IN 46143-8836

Phone

(317) 889-7546

Fax

(317) 889-2482

NPI assigned

Apr 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Matthew B Strausburg, MDNPI 1093057911

Title

Dermatologist/Owner

Phone

(317) 403-1903

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

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

• Matthew Bradley Strausburg, M.D.

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1093057911
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1386107829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6938 BLUFFGROVE CIR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462782806",
            "telephone_number": "317-403-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 S PARK BLVD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461438836",
            "telephone_number": "317-889-7546",
            "fax_number": "317-889-2482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAUSBURG DERMATOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "STRAUSBURG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DERMATOLOGIST/OWNER",
        "authorized_official_telephone_number": "317-403-1903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheranda Letieese Stott
• Zina Stout
• Donna Stovall, RBT
• Whitney Strange, BCABA
• Alyssa Michelle Stransky, RBT
• Abigail L Strehle, NP
• Byron Luke William Streich, O.D.
• Jason Streit
• Joshua Camden Striby
• Rebekah Stringer, RBT

• Dermatology Physician in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.