Individual provider Active NPI

Cody Stroud, MD

  • Family Medicine Physician
  • Conway, AR
National Provider Identifier
1396238598
Registry record updated Dec 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-14577 Issued in AR
Practice address
805 Oak St
Conway, AR 72032-4408
Phone
(501) 504-2329
NPI assigned
Jun 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-14577 AR Primary

Addresses

Primary practice location

805 Oak St
Conway, AR 72032-4408

Mailing address

805 Oak St
Conway, AR 72032-4408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211222001041 AR Practitioner - Family Practice 5698021368 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-14577ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care Arkansas, P.a. CurrentSince Dec 10, 2021 Accepting new patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Jan 21, 2025 Accepting new patients
Urgent Team of Arkansas Physicians, LLC CurrentSince Jan 21, 2025 Accepting new patients
Medexpress Urgent Care Arkansas, P.a. Family Medicine CurrentSince Dec 10, 2021 Accepting new patients

Locations

805 Oak St
Conway, AR 72032
Phone (501) 497-5340

222 E Dave Ward Dr
Conway, AR 72032
Phone (501) 505-8400

1065 Skyline Dr
Conway, AR 72032
Phone (501) 499-6222

511 W Main St
Russellville, AR 72801
Phone (479) 223-5130

1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639785600000",
    "number": "1396238598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 OAK ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 OAK ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324408",
            "telephone_number": "501-504-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "CODY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-14577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.