Provider Demographics
NPI:1083687818
Name:STROUD, HILARY A (MD)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:A
Last Name:STROUD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20397 ROUTE 19
Mailing Address - Street 2:TWO LANDMARK NORTH
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6133
Mailing Address - Country:US
Mailing Address - Phone:724-772-3300
Mailing Address - Fax:724-772-3360
Practice Address - Street 1:20397 ROUTE 19
Practice Address - Street 2:TWO LANDMARK NORTH
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-6133
Practice Address - Country:US
Practice Address - Phone:724-772-3300
Practice Address - Fax:724-772-3360
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021912207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008004430006Medicaid
PA113404Medicare PIN
PA0008004430006Medicaid