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1053550152 NPI number — CHRISTOPHER B STROUD MD

NPI Number: 1053550152
Health Care Provider/Practitioner: CHRISTOPHER B STROUD MD

Information about “1053550152” NPI (CHRISTOPHER B STROUD MD) exists in 1053550152 in HTML format HTML  |  1053550152 in plain Text format TXT  |  1053550152 in PDF (Portable Document Format) PDF  |  1053550152 in an XML format XML  formats.

NPI Number : 1053550152 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053550152",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STROUD",
    "FirstName": "CHRISTOPHER",
    "MiddleName": "B",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2512 E DUPONT RD STE 105",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT WAYNE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46825-0045",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "260-222-7401",
    "MailingAddressFaxNumber": "260-209-5956",
    "FirstLinePracticeLocationAddress": "2512 E DUPONT RD STE 105",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FORT WAYNE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "46825-0045",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "260-222-7401",
    "PracticeLocationAddressFaxNumber": "260-209-5956",
    "EnumerationDate": "02/12/2009",
    "LastUpdateDate": "12/24/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "36754-020",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "01062792A",
          "LicenseNumberStateCode": "IN",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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