Individual provider Active NPI

Leonor B Frierson-Stroud, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1669582888
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H2384 Issued in TX
Practice address
8000 Anderson SQ Ste 113
Austin, TX 78757-8482
Phone
(512) 338-0171
Fax
(512) 338-0771
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H2384 TX Primary

Addresses

Primary practice location

8000 Anderson SQ Ste 113
Austin, TX 78757-8482

Mailing address

PO Box 28369
Austin, TX 78755-8369
Phone (512) 338-0171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100816001090 TX Practitioner - Internal Medicine 3577697309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H2384TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Clinic CurrentSince Nov 24, 2019 Accepting new patients

Locations

8000 Anderson Sq
Ste 113
Austin, TX 78757
Phone (512) 338-0171

Interoperability endpoints

  • Direct secure messaging: leonor.frierson-stroud.1@12704.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1669582888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28369",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787558369",
            "telephone_number": "512-338-0171",
            "fax_number": "512-338-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 ANDERSON SQ STE 113",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787578482",
            "telephone_number": "512-338-0171",
            "fax_number": "512-338-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIERSON-STROUD",
        "first_name": "LEONOR",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H2384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.