DR. BRIAN JOSEPH STOUT (NPI# 1114154036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114154036 |
| Entity Type | Individual |
| Full Name | DR. BRIAN JOSEPH STOUT |
| Credential | M.D. |
| Practice Address |
9040 Jackson Ave Tacoma WA 98431-5285 |
| Mailing Address |
9040 Jackson Avenue Tacoma WA 98431-0001 |
| Practice Telephone | 2539682287 |
| Practice Fax Number | 2539680448 |
| Mailing Telephone | 2539685438 |
| Mailing Fax Number | 2539685438 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2019-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD-16078 | HI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | UPIN | VAD000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427506120 | Brian Jonathan Stout | Specialist/Technologist | 2801 W Bancroft St, Toledo, OH 43606-3390 | 2016-09-12 |
| 1689632739 | Brian Thomas Stout | Emergency Medicine | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2006-05-01 |
| Street Address |
9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-5285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345185 | John E Buonora | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave, Tacoma, WA 98431-2025 | 2005-06-09 |
| 1629675251 | Brian Rankin | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-10-06 |
| 1508473869 | Allyssa Lynn Borak | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1093322299 | Jessica Granger | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-30 |
| 1134736481 | Rebecca Reinhardt | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-29 |
| 1184238479 | Mark Nash | Physical Therapist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-09-03 |
| 1679191969 | Christopher A Land | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-13 |
| 1396362604 | Valerie Kruger | Genetic Counselor, MS | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-02 |
| 1255958724 | Michael Wong | Student in an Organized Health Care Education/Training Program | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-07-01 |
| 1841813391 | Kailey Utley | Optometrist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740383744 | Robert Emil Ettlinger | Internal Medicine | 1901 South Cedar Street, 201 Cedar Medical Center, Tacoma, WA 98405 | 2006-09-06 |
| 1720098973 | George H Krick | Internal Medicine | 1901 So Cedar, Suite 202, Tacoma, WA 98405 | 2006-08-09 |
| 1164839700 | Ofelya Gevorgyan | Internal Medicine | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2014-07-15 |
| 1619258415 | Robert E Ettlinger Md Ps | Internal Medicine | 1901 S Cedar St, Suite 108, Tacoma, WA 98405-2395 | 2011-09-07 |
| 1255639456 | Franciscan Medical Group | Internal Medicine | 1802 Yakima Ave, Ste 208, Tacoma, WA 98405-4499 | 2011-03-11 |
| 1508028952 | Anna A Muchnik | Internal Medicine | 1901 S Union Ave, A221, Tacoma, WA 98405-1702 | 2008-06-26 |
| 1437216389 | Eric A. Schoen | Internal Medicine | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2007-01-02 |
| 1285790691 | Ashul Pandhi | Internal Medicine | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2006-12-29 |
| 1801998497 | Charles Speakman Paxson | Internal Medicine | 9600 Veterans Dr Sw, Tacoma, WA 98493-5000 | 2006-09-02 |
| 1164470415 | Natalya Z Warner | Internal Medicine | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2006-05-05 |
| Find all providers in TACOMA | ||||
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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.