Individual provider Active NPI

Philip Arledge Strawther, MD

  • Plastic Surgery Physician
  • Huntersville, NC
National Provider Identifier
1982681870
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
39109 Issued in NC
Practice address
16627 Birkdale Commons Pkwy
Suite 200
Huntersville, NC 28078-5617
Phone
(704) 892-1101
Fax
(704) 892-1898
NPI assigned
Dec 30, 2005
Last updated
Apr 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 39109 NC Primary

Addresses

Primary practice location

16627 Birkdale Commons Pkwy
Suite 200
Huntersville, NC 28078-5617

Mailing address

16627 Birkdale Commons Pkwy
Suite 200
Huntersville, NC 28078-5617
Phone (704) 892-1101

Other identifiers 14

IdentifierTypeStateIssuer
13 41698OtherUNITED HEALTHCARE
39109OtherNCNC MEDICAL BOARD
80272OtherBCBS STATE HEALTH PLAN
4277020OtherAETNA HMO PPO POS
15069OtherPARTNERS MEDICARE CHOICE
6457570OtherCIGNA
N39109MedicaidSC
P00102629OtherMEDICARE UHC RAILROAD
15069OtherMEDICARE ADVANTAGE HMO
709032OtherFIRST HEALTH
80272OtherNCNC BLUE CROSS BLUE SHIEL
0292OtherONE HEALTH PLAN
86033OtherCIGNA MEDICARE ACCESS
8980272MedicaidNC

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
39109NCMDPlastic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1982681870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16627 BIRKDALE COMMONS PKWY",
            "address_2": "SUITE 200",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785617",
            "telephone_number": "704-892-1101",
            "fax_number": "704-892-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16627 BIRKDALE COMMONS PKWY",
            "address_2": "SUITE 200",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785617",
            "telephone_number": "704-892-1101",
            "fax_number": "704-892-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAWTHER",
        "first_name": "PHILIP",
        "middle_name": "ARLEDGE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NC",
            "license": "39109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "13 41698",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL BOARD",
            "identifier": "39109",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS STATE HEALTH PLAN",
            "identifier": "80272",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PPO POS",
            "identifier": "4277020",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE CHOICE",
            "identifier": "15069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6457570",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N39109",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UHC RAILROAD",
            "identifier": "P00102629",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ADVANTAGE HMO",
            "identifier": "15069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "709032",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BLUE CROSS BLUE SHIEL",
            "identifier": "80272",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE HEALTH PLAN",
            "identifier": "0292",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA MEDICARE ACCESS",
            "identifier": "86033",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8980272",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.