Individual provider Active NPI

Dean L. Strycker, MD

  • Anesthesiology Physician
  • Granger, IN
National Provider Identifier
1730318155
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01021248A Issued in IN
Practice address
51758 Wexford Dr
Granger, IN 46530-8246
Phone
(574) 271-1593
Fax
(574) 271-1593
NPI assigned
Jul 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01021248A IN Primary

Addresses

Primary practice location

51758 Wexford Dr
Granger, IN 46530-8246

Mailing address

51758 Wexford Dr
Granger, IN 46530-8246
Phone (574) 271-1593

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01021248AINMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1730318155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51758 WEXFORD DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308246",
            "telephone_number": "574-271-1593",
            "fax_number": "574-271-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51758 WEXFORD DR",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465308246",
            "telephone_number": "574-271-1593",
            "fax_number": "574-271-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRYCKER",
        "first_name": "DEAN",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01021248A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granger, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.