JERRAD MICHAEL STODDARD PA
NPI 1013326792
Physician Assistant in Round Rock, TX

Q: What is Jerrad Stoddard's NPI number?

The NPI number for Jerrad Stoddard is 1013326792. It was assigned to this individual provider in the NPPES registry on August 7, 2014.

Q: What is Jerrad Stoddard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jerrad Stoddard was last updated on December 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 07, 2014

2410 ROUND ROCK AVE STE 150, ROUND ROCK, TX 78681(512) 341-8724(512) 687-0295 Get Directions Write a Review

NPPES record last updated: December 1, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2017, Aug 16, 2017 (2 updates tracked since 2017).

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About Jerrad Michael Stoddard Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRAD MICHAEL STODDARD PA (NPI 1013326792) is an individual physician assistant in Round Rock, Texas, licensed in Texas (PA09361) and active in the NPI registry since August 2014. He maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1013326792

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJERRAD MICHAEL STODDARDCredential: PA

Location Address2410 ROUND ROCK AVE STE 150Round Rock, TX 78681-4019

Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 234-0813

Phone(512) 341-8724

Fax(512) 687-0295

Sole ProprietorNo

Enumeration DateAugust 7, 2014

Last NPPES UpdateDecember 1, 20172 updates tracked since enumeration

✔ NPI 1013326792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA09361

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2410 ROUND ROCK AVE STE 150, Round Rock, TX 78681

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Secondary Practice Location 1

Location 11515 Holcombe BlvdHouston, TX 77030-4009 · Phone (713) 792-6161

Other Identifiers 3

Medicaid342213101TX

Medicare PIN343748YKQHTX

Medicaid342213102TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.Insurance ›

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES CHIA-CHUEN HSU M.D., PH.D.

Radiology (Radiation Oncology)