Jason D Stroud, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33406 Issued in SC

Practice address

851 Leonard Fulghum Dr
Ste 100
Mount Pleasant, SC 29464-3793

Phone

(843) 849-1300

Fax

(843) 849-1310

NPI assigned

May 28, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1184882052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 LEONARD FULGHUM DR",
            "address_2": "STE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643793",
            "telephone_number": "843-849-1300",
            "fax_number": "843-849-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 LEONARD FULGHUM DR",
            "address_2": "STE 100",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643793",
            "telephone_number": "843-849-1300",
            "fax_number": "843-849-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "JASON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "33406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "334061",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Rudisill Streck
• Malory Rose Strehl, PT, DPT
• Nora G Stresemann, OTR L
• John Patrick Strobel
• Hannah Marie Stroud, PHARMD, MBA, IGCP
• Stefanie S Stroud
• William H Stroud Jr., M.D.
• Cynthia Becher Strout
• Brian Kenneth Sullivan, PSYD
• Cara McMenamin Sullivan, LPC

• Family Medicine Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 Jan 28, 2016; 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.