MICHAEL A STROUD (NPI# 1720126501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720126501 |
| Entity Type | Individual |
| Full Name | MICHAEL A STROUD |
| Practice Address |
305 W Jackson St Ste Ll02 Carbondale IL 62901-1474 |
| Mailing Address |
511 Dogwood Ln Carterville IL 62918-1624 |
| Practice Telephone | 6185490721 |
| Mailing Telephone | 6189852237 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | 96000511 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215928767 | Michael Bryant Stroud | Dermatology | 1540 Southtown Dr, Suite 107, Granbury, TX 76048-2682 | 2005-11-03 |
| 1902289077 | Michael Stroud | Marriage & Family Therapist | 822 S Robertson Blvd Ste 300, Los Angeles, CA 90035-1640 | 2015-07-07 |
| 1538434667 | Michael Thomas Stroud | Case Manager/Care Coordinator | 1500 N 6th St, Ponca City, OK 74601-2827 | 2012-03-22 |
| 1881991347 | Michael Joseph Stroud | Adult Companion | 2330 Ne Siskiyou St, Portland, OR 97212-2471 | 2011-02-18 |
| 1831418789 | Michael Warren Stroud | Psychologist | 1055 Clermont St., 116b Denver Va Medical Center, Denver, CO 80220-3808 | 2010-05-18 |
| 1306968284 | Michael Hugh Stroud | Pediatrics | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2007-04-04 |
| Street Address |
305 W JACKSON ST STE LL02 |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62901-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558961268 | Gerad Aaron Harsy | Pharmacist | Walmart Pharmcy, 1450 East Main St, Carbondale, IL 62901 | 2020-10-30 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1306317383 | Rachael O Johnson | Nurse Practitioner | 404 S. Lewis Ln, Carbondale, IL 62901 | 2018-12-17 |
| 1740795194 | Megan Marie Zimmerman | Nurse Practitioner | 1100 W Diann Ln., Carbondale, IL 62901 | 2017-12-07 |
| 1295244242 | Amy Elizabeth Prudencio | Social Worker | 1301 E. Walnut Street, Carbondale, IL 62901 | 2017-09-21 |
| 1740708171 | Theresa Aleise Goodin | Speech-Language Pathologist | 1301 East Walnut Street, Carbondale, IL 62901 | 2017-09-06 |
| 1144762527 | Kathleen Chwalisz Rigney | Psychologist | 306 West Mill Street, Neurorestorative, Carbondale, IL 62901 | 2016-11-16 |
| 1285185173 | Shawnee Health Service and Development Corp | Social Worker | 404 S. Lewis Lane, Carbondale, IL 62901 | 2016-10-17 |
| 1437605094 | Arielle Greer | Nurse's Aide | 510 E. Russell St., A, Carbondale, IL 62901 | 2016-09-01 |
| 1518413863 | Complete Family Eyecare of Carbondale, PC | Optometrist | 1241 East Walnut Street, Carbondale, IL 62901 | 2016-08-28 |
| Find all providers in zip 62901 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276481 | Nicole Lewis | Rehabilitation Practitioner | 15300 W Hoff Rd, Manhattan, IL 60442-9326 | 2020-05-12 |
| 1992330799 | Complete Rehab and Consultation Inc | Rehabilitation Practitioner | 120 Sonoma Rd, New Lenox, IL 60451-3291 | 2020-03-12 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1770098220 | Corinne Nicole Nero | Rehabilitation Practitioner | 5000 S 5th Ave Bldg 113, Hines, IL 60141-3030 | 2017-12-06 |
| 1154711570 | Jonathan Robert Gilliand | Rehabilitation Practitioner | 330 Ponderosa Dr, Bradley, IL 60915-1143 | 2015-01-24 |
| 1396133609 | Benedict Chang | Rehabilitation Practitioner | 5610 N Mango Ave, Chicago, IL 60646-6306 | 2015-01-08 |
| 1417350414 | Billy Tatum | Rehabilitation Practitioner | 1436 W. Randolph, 5th Floor, Chicago, IL 60607 | 2014-10-03 |
| 1093006546 | Nicole Berlowski | Rehabilitation Practitioner | 1501 Dogwood Dr, Woodridge, IL 60517-4649 | 2011-05-02 |
| 1417261538 | Gina Graff | Rehabilitation Practitioner | 1000 N Lasalle St, Apt 518, Chicago, IL 60610-2676 | 2010-07-30 |
| 1801022041 | Children's Therapy and Rehab Specialists | Rehabilitation Practitioner | 2531 Technology Dr Ste 313, Elgin, IL 60124-7889 | 2009-06-02 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62901 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.