MEDICARE: AMANDA ROSE STRAUSS PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	OA006012	PA
2	363A00000X	Physician Assistant	PA9113257	FL
3	363A00000X	Physician Assistant	OA006012	PA
4	390200000X	Student in an Organized Health Care Education/Training Program
5	363AM0700X	Medical Physician Assistant	MA063353	PA

General Provider Information

NPI Number	:	1043873409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA ROSE STRAUSS PA-C

Provider Business Mailing Address
First Line	:	24 SPRING HOUSE RD
Second Line	:
City	:	LEHIGHTON
State	:	PA
Zip	:	18235-9700
Country	:	US
Telephone Number	:	386-898-3671
Fax Number	:

Provider Business Practice Location Address
First Line	:	2128 BLAKESLEE BLVD DRIVE EAST
Second Line	:
City	:	LEHIGHTON
State	:	PA
Zip	:	18235
Country	:	US
Telephone Number	:	610-377-5959
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2019
Last Update Date	:	07/21/2025

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