Individual provider Active NPI

Rebecca T. Strafford, M.D,

  • General Practice Physician
  • Gallipolis, OH
National Provider Identifier
1689660680
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35035123 Issued in OH
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

Updated by the provider on Feb 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0280799MedicaidOH

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

LicenseStateTypeSpecialty
35035123OHMDGeneral 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.

Verify at the official NPI Registry.