Active NPI
Stuart K Todd, MD
- Surgery Physician
- Rocky Mount, NC
National Provider Identifier
1588658314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 19554
- Practice address
- 1508 Jeremy LN
Rocky Mount, NC 27803-1518 - Phone
- (252) 443-4361
- Fax
- (252) 443-0096
- NPI assigned
- Sep 8, 2005
- Last updated
- Aug 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 19554 | NC | Primary |
| Vascular Surgery Physician | 2086S0129X | 19554 | NC |
Addresses
Primary practice location
1508 Jeremy LN
Rocky Mount, NC 27803-1518
Mailing address
1508 Jeremy LN
Rocky Mount, NC 27803-1518
Phone (252) 443-4361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8983585 | Medicaid | NC |
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 |
|---|---|---|---|
| 19554 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redington Medical Associates | Surgery | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Rocky Mount, NC
- NPI 1316165699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1588658314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 JEREMY LN",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278031518",
"telephone_number": "252-443-4361",
"fax_number": "252-443-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 JEREMY LN",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278031518",
"telephone_number": "252-443-4361",
"fax_number": "252-443-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "STUART",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "19554",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NC",
"license": "19554",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8983585",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.