Active NPI
Thomas M. Doud, M.D.
- Diagnostic Radiology Physician
- Seneca, SC
National Provider Identifier
1366408809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 13603
- Practice address
- 1059 By Pass 123
Seneca, SC 29678-4762 - Phone
- (864) 885-0551
- Fax
- (864) 885-1822
- NPI assigned
- Apr 25, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 13603 | SC | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 9300387 | NC | |
| Diagnostic Radiology Physician | 2085R0202X | 053458 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | H3562 | TX |
Addresses
Primary practice location
1059 By Pass 123
Seneca, SC 29678-4762
Mailing address
1059 By Pass 123
Seneca, SC 29678-4762
Phone (864) 885-0551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP2588 | Medicaid | SC |
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 |
|---|---|---|---|
| 053458 | GA | MD | Diagnostic Radiology Physician |
| 9300387 | NC | MD | Diagnostic Radiology Physician |
| 13603 | SC | MD | Diagnostic Radiology Physician |
| H3562 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Mobile Ultrasound, LLC | Past | Accepting new patients | |
| American Diagnostics Services LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physiological Laboratory
- Windsor Mill, MD
- NPI 1639140387
Diagnostic Radiology
-
- Diagnostic Ultrasound Physician
- Oceanside, CA
- NPI 1760620959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746144000000",
"number": "1366408809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1059 BY PASS 123",
"city": "SENECA",
"state": "SC",
"postal_code": "296784762",
"telephone_number": "864-885-0551",
"fax_number": "864-885-1822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1059 BY PASS 123",
"city": "SENECA",
"state": "SC",
"postal_code": "296784762",
"telephone_number": "864-885-0551",
"fax_number": "864-885-1822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUD",
"first_name": "THOMAS",
"middle_name": "M.",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2025-05-02",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "13603",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "9300387",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "053458",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "H3562",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP2588",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.