Individual provider Active NPI

David Rodney Strayer, M.D.

  • Research Study Specialist
  • Philadelphia, PA
National Provider Identifier
1982015699
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
License
A25366 Issued in CA
Practice address
1617 John F Kennedy Blvd Ste 500
Philadelphia, PA 19103-1805
Phone
(215) 988-0080
Fax
(215) 988-1739
NPI assigned
May 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study Specialist 1744R1102X A25366 CA Primary

Addresses

Primary practice location

1617 John F Kennedy Blvd Ste 500
Philadelphia, PA 19103-1805

Mailing address

1617 John F Kennedy Blvd Ste 500
Philadelphia, PA 19103-1805
Phone (215) 988-0080

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
A25366CAMDResearch Study Specialist

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1982015699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 JOHN F KENNEDY BLVD STE 500",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031805",
            "telephone_number": "215-988-0080",
            "fax_number": "215-988-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 JOHN F KENNEDY BLVD STE 500",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031805",
            "telephone_number": "215-988-0080",
            "fax_number": "215-988-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAYER",
        "first_name": "DAVID",
        "middle_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "CA",
            "license": "A25366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.