Active NPI
Rebecca T. Strafford, M.D,
- General Practice Physician
- Gallipolis, OH
National Provider Identifier
1689660680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 35035123
- Practice address
- 2500 Ohio Ave
Gallipolis, OH 45631-1656 - Phone
- (740) 446-1642
- NPI assigned
- Sep 25, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 35035123 | OH | Primary |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 35035123 | OH |
Addresses
Primary practice location
2500 Ohio Ave
Gallipolis, OH 45631-1656
Mailing address
494 Buhl Morton Rd
Gallipolis, OH 45631-8524
Phone (740) 446-6575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0280799 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35035123 | OH | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297296000000",
"number": "1689660680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "494 BUHL MORTON RD",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456318524",
"telephone_number": "740-446-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 OHIO AVE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311656",
"telephone_number": "740-446-1642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAFFORD",
"first_name": "REBECCA",
"middle_name": "T.",
"credential": "M.D,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-25",
"last_updated": "2011-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "35035123",
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "OH",
"license": "35035123",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0280799",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gallipolis, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.