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NPI Code Detail

MEDICARE: DR. CHRISTOPHER B STROUD MD

MEDICARE: DR. CHRISTOPHER B STROUD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician36754-020WI
2207V00000XObstetrics & Gynecology Physician01062792AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000682116OTHERINANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053550152
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER B STROUD MD
Provider Business Mailing Address
First Line : 2512 E DUPONT RD STE 105
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-0045
Country : US
Telephone Number : 260-222-7401
Fax Number : 260-209-5956
Provider Business Practice Location Address
First Line : 2512 E DUPONT RD STE 105
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-0045
Country : US
Telephone Number : 260-222-7401
Fax Number : 260-209-5956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2009
Last Update Date : 12/24/2025

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