Organization Active NPI

Melissa Stroud, MD, PLLC

  • Hospitalist Physician
  • Decatur, TX
National Provider Identifier
1619177425
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
M5943 Issued in TX
Legal business name
MELISSA STROUD, MD, PLLC
Practice address
609 Medical Center Dr
Suite 2218
Decatur, TX 76234-3836
Phone
(940) 626-2718
Fax
(940) 626-1782
NPI assigned
Jul 19, 2007
Last updated
Nov 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Melissa Stroud, MDNPI 1841405446
Title
Organizer
Phone
(940) 626-2718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X M5943 TX Primary

Addresses

Primary practice location

609 Medical Center Dr
Suite 2218
Decatur, TX 76234-3836

Mailing address

PO Box 1563
Decatur, TX 76234
Phone (940) 626-2718

Other identifiers 2

IdentifierTypeStateIssuer
0037PXOtherTXBCBS
186736801MedicaidTX

National Provider Directory

National Provider Directory

Locations

609 Medical Center Dr
Ste 2218
Decatur, TX 76234
Phone (940) 626-2718

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1619177425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1563",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "76234",
            "telephone_number": "940-626-2718",
            "fax_number": "940-626-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 MEDICAL CENTER DR",
            "address_2": "SUITE 2218",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343836",
            "telephone_number": "940-626-2718",
            "fax_number": "940-626-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA STROUD, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "STROUD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "940-626-2718",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "M5943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0037PX",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186736801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.