Fleetwood Internal Medicine PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

851 Issued in SC

Legal business name

FLEETWOOD INTERNAL MEDICINE PA

Practice address

109B Fleetwood Dr
Easley, SC 29640-2019

Phone

(864) 855-1036

Fax

(864) 855-3318

NPI assigned

Sep 21, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lawrence E Stroud Jr., MDNPI 1316933559

Title

President

Phone

(864) 855-1036

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrence E Stroud Jr., MD

  • Cardiovascular Disease Physician
  • Pendleton, SC
  • NPI 1316933559
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1104812692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296710309",
            "telephone_number": "864-850-1441",
            "fax_number": "864-850-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109B FLEETWOOD DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296402019",
            "telephone_number": "864-855-1036",
            "fax_number": "864-855-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEETWOOD INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "STROUD",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-855-1036",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "851",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "SC",
            "license": "8878",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "SC",
            "license": "9099",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA4726",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Matthew Fisher, MD
• Elizabeth Fisher
• Gary Fisher
• Stephanie Fisher, PA
• Fleetwood Dental
• Fleetwood Rehabilitation and Healthcare Center, LLC
• Fleetwood Square Dental, LLC
• Elizabeth Alice Floyd, RN
• Foothills Bariatric and Wellness Center
• Foothills Cardiology Associates PA

• Family Medicine Physician in Easley, SC
• Providers in Easley, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.