Organization Active NPI

Charles C Stroud MD PC

  • Specialist
  • Troy, MI
National Provider Identifier
1275840902
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301059510 Issued in MI
Legal business name
CHARLES C STROUD MD PC
Practice address
4550 Investment Drive
Suite 240
Troy, MI 48098
Phone
(248) 792-9881
Fax
(248) 792-9895
NPI assigned
Sep 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Dr. Charles Christopher StroudNPI 1205818432
Title
Medical Doctor
Phone
(248) 792-9881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 4301059510 MI Primary

Addresses

Primary practice location

4550 Investment Drive
Suite 240
Troy, MI 48098

Mailing address

4550 Investment Dr
Suite 240
Troy, MI 48098-6363
Phone (248) 792-9881

Other practice location 1

1701 South Blvd E Ste 140
Rochester Hills, MI 48307-6118
Phone (248) 792-9881

Other identifiers 1

IdentifierTypeStateIssuer
442725610MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1275840902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 INVESTMENT DR",
            "address_2": "SUITE 240",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986363",
            "telephone_number": "248-792-9881",
            "fax_number": "248-792-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 INVESTMENT DRIVE",
            "address_2": "SUITE 240",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48098",
            "telephone_number": "248-792-9881",
            "fax_number": "248-792-9895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 South Blvd E Ste 140",
            "address_purpose": "LOCATION",
            "city": "Rochester Hills",
            "state": "MI",
            "postal_code": "483076118",
            "country_code": "US",
            "telephone_number": "248-792-9881",
            "fax_number": "248-430-5375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHARLES C STROUD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "STROUD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "248-792-9881",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301059510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442725610",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.