S Douglas Strycker, M.D.
Individual provider Active NPI Family Medicine Physician · Milford, IN
NPI 1477552040 · NPPES record last updated Dec 12, 2007
Key facts
- NPI
- 1477552040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 01031194A (IN)
- Practice address
- 201 S Main Street
Milford, IN 46542-0128 - Phone
- (574) 658-4142
- Fax
- (574) 658-3160
- NPI assigned
- Jul 18, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01031194A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milford Family Physicians, LLP | Family Medicine | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01031194A | IN | Yes |
Addresses
Primary practice location
201 S Main Street
Milford, IN 46542-0128
Mailing address
PO Box 128
Milford, IN 46542-0128
Phone (574) 658-4142
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12935 | Other | IN | PHP IND # |
| 100144840A | Medicaid | IN | |
| 200300890A | Medicaid | IN | |
| 000000112486 | Other | IN | ANTHEM BCBS IND # |
Other providers in Milford, IN
- Jessica Mae Martin
- Milford Family Physicians, LLP
- North Central Indiana Medical Clinic LLC
- Pillbox Pharmacies, Inc.
- Kimberly Ann Senders
- Transcending Caregiving Services LLC
- Warsaw Health System, LLC
- Michelle Wilson
- Janel Marie Zehring
All providers in Milford, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.