Provider Demographics
NPI:1023096799
Name:STRYKER, JOHN A (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:STRYKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1044 BEECH AVE
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2207
Mailing Address - Country:US
Mailing Address - Phone:717-533-2860
Mailing Address - Fax:717-533-2860
Practice Address - Street 1:1023 MUMMA RD
Practice Address - Street 2:SUITE 102
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043-1164
Practice Address - Country:US
Practice Address - Phone:717-724-4672
Practice Address - Fax:717-724-4689
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD14804E2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0667058Medicaid
PA0667058Medicaid
115042Medicare ID - Type UnspecifiedMEDICARE