Active NPI
David Henry Cloud Jr., MD
- General Practice Physician
- Logansport, IN
National Provider Identifier
1831229772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 01013236A
- Practice address
- 1098 S St. Rd 25
Logansport, IN 46947-6723 - Phone
- (574) 722-4141
- NPI assigned
- Mar 7, 2007
- Last updated
- Sep 2, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01013236A | IN | Primary |
Addresses
Primary practice location
1098 S St. Rd 25
Logansport, IN 46947-6723
Mailing address
PO Box 11503
405 Bass Street
Fort Wayne, IN 46858
Phone (260) 438-4341
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 |
|---|---|---|---|
| 01013236A | IN | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220313600000",
"number": "1831229772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11503",
"address_2": "405 BASS STREET",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "46858",
"telephone_number": "260-438-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1098 S ST. RD 25",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469476723",
"telephone_number": "574-722-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUD",
"first_name": "DAVID",
"middle_name": "HENRY",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2008-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01013236A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Logansport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.