ELISHA STRODER CNP NPI 1063947620

NPI Information

NPI: 1063947620
Provider Name: ELISHA STRODER, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: PROMEDICA CENTRAL PHYSICIANS LLC

PECOS Registration: Yes

Address:
4888 WHITEFORD RD
TOLEDO, OH
ZIP 43623
Phone: (419) 885-5563
Get Directions

Elisha Stroder, CNP is a family nurse practitioner in Toledo, OH with 7 years of experience. Elisha Stroder, CNP NPI is 1063947620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4888 WHITEFORD RD
TOLEDO, OH
ZIP 43623-810
Phone: (419) 885-5563
Fax: (419) 885-5439

The NPI 1063947620 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2017 and was last updated on 3/27/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	020798	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0229531	MEDICAID	OHIO
2	H582390	OTHER	OHIO	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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