Active NPI
David W Stroud, MD
- Obstetrics & Gynecology Physician
- Sikeston, MO
National Provider Identifier
1588769293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2004012118
- Practice address
- 1013 N Main St
Sikeston, MO 63801-5043 - Phone
- (573) 472-7535
- Fax
- (573) 472-7787
- NPI assigned
- Sep 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2004012118 | MO | Primary |
Addresses
Primary practice location
1013 N Main St
Sikeston, MO 63801-5043
Mailing address
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 472-7535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209026509 | Medicaid | MO |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Delta Medical Center | Obstetrics & Gynecology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Sikeston, MO
- NPI 1457436040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1588769293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 N MAIN ST",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638015044",
"telephone_number": "573-472-7535",
"fax_number": "573-472-7787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 N MAIN ST",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638015043",
"telephone_number": "573-472-7535",
"fax_number": "573-472-7787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROUD",
"first_name": "DAVID",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2004012118",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209026509",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sikeston, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.