Active NPI
Lawrence E Stroud Jr., MD
- Cardiovascular Disease Physician
- Pendleton, SC
National Provider Identifier
1316933559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 9099
- Practice address
- 2229 Old Greenville Hwy
Pendleton, SC 29670 - Phone
- (864) 855-1036
- NPI assigned
- Sep 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 9099 | SC | Primary |
Addresses
Primary practice location
2229 Old Greenville Hwy
Pendleton, SC 29670
Mailing address
2229 Old Greenville Hwy
Pendleton, SC 29670-9206
Phone (864) 646-9517
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57-0739752 | Other | SC | CORP. FEDERAL ID NUMBER |
| 110048374 | Other | SC | RAILROAD MEDICARE PROV NO |
| 42D0252876 | Other | SC | CLIA NUMBER |
| 090993 | Medicaid | SC | |
| PA4726 | Other | SC | GROUP MEDICAID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9099 | SC | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fleetwood Internal Medicine PA | Cardiovascular Disease | Current | Accepting new patients |
Locations
109 Fleetwood Dr
#B
Easley, SC 29640
Phone (864) 522-3970
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Easley, SC
- NPI 1104812692
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1316933559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2229 OLD GREENVILLE HWY",
"city": "PENDLETON",
"state": "SC",
"postal_code": "296709206",
"telephone_number": "864-646-9517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2229 OLD GREENVILLE HWY",
"city": "PENDLETON",
"state": "SC",
"postal_code": "29670",
"telephone_number": "864-855-1036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROUD",
"first_name": "LAWRENCE",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "SC",
"license": "9099",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORP. FEDERAL ID NUMBER",
"identifier": "57-0739752",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROV NO",
"identifier": "110048374",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA NUMBER",
"identifier": "42D0252876",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090993",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID NUMBER",
"identifier": "PA4726",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pendleton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.