Charles Roland Strub, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

9619 Issued in WA

Practice address

14841 179TH Ave SE
Ste220
Monroe, WA 98272-1127

Phone

(360) 863-1508

Fax

(360) 805-9781

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497816078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21810 CALHOUN RD",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982728752",
            "telephone_number": "360-863-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14841 179TH AVE SE",
            "address_2": "STE220",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721127",
            "telephone_number": "360-863-1508",
            "fax_number": "360-805-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUB",
        "first_name": "CHARLES",
        "middle_name": "ROLAND",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WA",
            "license": "9619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey A Stowe, PA-C
• Victoria Elizabeth Stratton-Pangilinan
• Leah Marie Wheaton Straub, ATC
• Nathan Eunsoo Strohm, D.C.
• Scott Branting Strom, RPH
• Michelle Stupay
• Taylor Stutz
• Kelly Anne Sudore, R.N., B.S.N., D.C.
• April Suen, PHARMD
• Mitchell Hisao Suzawa, OT

• Vascular Surgery Physician in Monroe, WA
• Providers in Monroe, WA by specialty
• Vascular Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.