Organization Active NPI

Strauss Family Practice, LLC

  • Rural Health Clinic/Center
  • Berea, KY
National Provider Identifier
1831131481
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
STRAUSS FAMILY PRACTICE, LLC
Practice address
402 Richmond Rd N
Suite B
Berea, KY 40403-1133
Phone
(859) 986-9521
Fax
(859) 986-7369
NPI assigned
Jun 11, 2006
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Jon M Strauss, MDNPI 1306889894
Title
Owner
Phone
(606) 392-2301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

402 Richmond Rd N
Suite B
Berea, KY 40403-1133

Mailing address

225 Richmond Street
P.O. Box 4019
Mt. Vernon, KY 40456-4019
Phone (606) 392-2301

Other identifiers 2

IdentifierTypeStateIssuer
35000025MedicaidKY
CJ2363OtherKYRAILROAD MEDICARE

Other names 1

  • Strauss Family Practice, LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1831131481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 RICHMOND STREET",
            "address_2": "P.O. BOX 4019",
            "city": "MT. VERNON",
            "state": "KY",
            "postal_code": "404564019",
            "telephone_number": "606-392-2301",
            "fax_number": "606-392-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 RICHMOND RD N",
            "address_2": "SUITE B",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031133",
            "telephone_number": "859-986-9521",
            "fax_number": "859-986-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAUSS FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "STRAUSS",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-392-2301",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35000025",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ2363",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strauss Family Practice, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Berea, KY

Sources for this page

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