=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396050613
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JAMES E. STRIKER MD PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/11/2010
-----------------------------------------------------
Last Update Date | 08/27/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 63 SHAKER RD SUITE G05
-----------------------------------------------------
City | ALBANY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12204-1030
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-269-3557
-----------------------------------------------------
Fax | 518-269-3560
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 63 SHAKER RD SUITE G05
-----------------------------------------------------
City | ALBANY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 12204-1030
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 518-269-3557
-----------------------------------------------------
Fax | 518-269-3560
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD/OWNER
-----------------------------------------------------
Name | DR. JAMES EDWARD STRIKER
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 518-269-3557
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | 120449-1
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------