NPIMap

Individual provider Active NPI

Eric Cameron Stroud, PA-C

  • Medical Physician Assistant
  • Corvallis, OR
National Provider Identifier
1881670511
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA00556 Issued in OR
Practice address
981 NW Spruce Ave
Corvallis, OR 97330-2111
Phone
(541) 758-0766
Fax
(541) 753-2737
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10003833 WA
Medical Physician Assistant 363AM0700X PA00556 OR Primary

Addresses

Primary practice location

981 NW Spruce Ave
Corvallis, OR 97330-2111

Mailing address

981 NW Spruce Ave
Corvallis, OR 97330-2111
Phone (541) 758-0766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051027000358 OR Practitioner - Physician Assistant 0840217048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Santiam Memorial HospitalGroup PAC ID 6103729751, 128 clinicians
Valley ClinicsGroup PAC ID 4981943776, 13 clinicians

Practice addresses (Care Compare)

280 S 1St Ave
Mill City, OR 97360-2324
Phone (503) 897-4100

3388 Pacific Blvd SW
Albany, OR 97321-7707
Phone (541) 758-0766

981 NW Spruce Ave
Corvallis, OR 97330-2111
Phone (541) 758-0766

Hospital & facility affiliations

  • Salem Hospital Hospital, Salem, OR, CCN 380051
  • Good Samaritan Regional Medical Center Hospital, Corvallis, OR, CCN 380014
  • Santiam Hospital & Clinics Hospital, Stayton, OR, CCN 380056
  • Samaritan Albany General Hospital Hospital, Albany, OR, CCN 380022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00556ORMDMedical Physician Assistant
PA10003833WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Santiam Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Santiam Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Public Hospital District No. 2, Klickitat County, Washington Past Accepting new patients
Kittitas County Hospital Dist 2 Past Accepting new patients

Locations

1401 N 10th Ave
Stayton, OR 97383
Phone (503) 769-2175

1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546

Organizations & group practices 6

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.

Hospital & facility affiliations 41

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1881670511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 NW SPRUCE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973302111",
            "telephone_number": "541-758-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 NW SPRUCE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973302111",
            "telephone_number": "541-758-0766",
            "fax_number": "541-753-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROUD",
        "first_name": "ERIC",
        "middle_name": "CAMERON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10003833",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA00556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.