Provider Demographics
NPI:1730156571
Name:STRICKLER, SCOTT H (MD)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:H
Last Name:STRICKLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:418 GRAND PARK DR
Mailing Address - Street 2:SUITE 315
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26105-4000
Mailing Address - Country:US
Mailing Address - Phone:304-428-3500
Mailing Address - Fax:304-422-7900
Practice Address - Street 1:418 GRAND PARK DR
Practice Address - Street 2:SUITE 315
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26105-4000
Practice Address - Country:US
Practice Address - Phone:304-428-3500
Practice Address - Fax:304-422-7900
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35.059667207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1511167001OtherCIGNA
31134604300OtherBRICKSTREET W/C
001714637OtherMOUNTAIN STATE BLUE CROSS
WV95576000Medicaid
180014584OtherRAILROAD MEDICARE
OHL0878895Medicaid
000000119766OtherANTHEM BC/BS
001714637OtherFREEDOM BLUE
4235963OtherAETNA
449568OtherHIGHMARK BC/BS
449568OtherHIGHMARK BC/BS
OH0712461Medicare PIN
001714637OtherMOUNTAIN STATE BLUE CROSS
001714637OtherFREEDOM BLUE