DR. MICHAEL EDWARD STOUT (NPI# 1235184995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235184995 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL EDWARD STOUT |
| Credential | DDS |
| Practice Address |
30 Stoneridge Drive Suite 102 Waynesboro VA 22980 |
| Practice Telephone | 5409498053 |
| Practice Fax Number | 5409432505 |
| Mailing Telephone | 5409498053 |
| Mailing Fax Number | 5409432505 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
VA0401007125 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 7801114 | 05 | |
| VA | ANTHEM BCBS | 317947 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346878352 | Michael A. Stout | Spec/Tech, Pathology | 40401 Bailey Dr, Gonzales, LA 70737-7168 | 2020-03-27 |
| 1174982425 | Michael S Stout | Physical Therapist | 522 W Pestalozzi Ave, Egg Harbor City, NJ 08215-3320 | 2016-02-15 |
| 1881033082 | Michael Philip Stout | Case Manager/Care Coordinator | 14226 Cheval Mayfaire Dr Apt 102, Orlando, FL 32828-7617 | 2013-06-20 |
| 1679863633 | Michael Tyler Stout | Anesthesiology | 1151 N State St Ste 311, Jackson, MS 39202-2407 | 2011-04-12 |
| 1013534510 | Michael A Stout | Counselor | 1777 Axtell Dr Ste 100, Troy, MI 48084-4400 | 2020-06-30 |
| 1326528100 | Michael Stout | Dentist | 2465 Iron Point Rd Ste 120, Folsom, CA 95630-8754 | 2018-08-21 |
| 1366873101 | Michael Stout | Counselor | 3125 Douglas Ave, Des Moines, IA 50310-5365 | 2013-12-04 |
| 1447372750 | Michael T Stout | Internal Medicine | 4444 Kalamazoo Ave Se, Kentwood, MI 49508-4600 | 2007-04-06 |
| 1700943818 | Michael Lee Stout | Dentist | 700 S Torrence St, Suite 220, Charlotte, NC 28204-2928 | 2007-01-02 |
| 1255403812 | Michael David Stout | Anesthesiologist Assistant | W180n8085 Town Hall Rd, Anesthesiology, Menomonee Falls, WI 53051-3518 | 2006-11-15 |
| Street Address |
30 STONERIDGE DRIVE SUITE 102 |
| City | WAYNESBORO |
| State | VA |
| Zip Code | 22980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053870071 | Deborah M Yancey | Audiologist | 301 Pine Ave., Waynesboro, VA 22980 | 2019-03-19 |
| 1255895215 | Synergy Rehab and Wellness, Plc | Physical Therapist | 100b Community Dr, Waynesboro, VA 22980 | 2019-01-24 |
| 1760959076 | Contractors Usa Inc. | Contractor | 102 Northpoint School Rd, Waynesboro, VA 22980 | 2018-10-25 |
| 1073080412 | Rebecca Mackall | Speech-Language Pathologist | 872 Fairway Drive, Waynesboro, VA 22980 | 2018-10-24 |
| 1891239927 | Heather Lewis | Counselor | 438 Alpha St, Waynesboro, VA 22980 | 2016-12-08 |
| 1194271817 | Ride Rite LLC | Taxi | 465 Calf Mountain Road, Waynesboro, VA 22980 | 2016-09-01 |
| 1225584568 | Richard Harris Sr. | Non-emergency Medical Transport (VAN) | 208 S Bayard Ave, Waynesboro, VA 22980 | 2016-08-28 |
| 1154772671 | Michael T Cunningham, Dds, PC | Dentist | 1151 13th St. Ste 200, Waynesboro, VA 22980 | 2016-06-27 |
| 1770981326 | Americare Plus, LLC. | In Home Supportive Care | 510 H West Broad Street, Waynesboroa, VA 22980 | 2014-12-15 |
| 1043649635 | Advanced Home Care Inc | Durable Medical Equipment & Medical Supplies | 30 Ebco Cir Ste 102, Waynesboro, VA 22980 | 2013-11-05 |
| Find all providers in zip 22980 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548755929 | Billy Clifford Brinson Jr. | Dentist | 265 Hopkins Corner Dr, Waynesboro, GA 30830-3448 | 2018-06-27 |
| 1043551823 | Robert Binda Jr. | Dentist | 1327 Rosser Ave, Waynesboro, VA 22980-3338 | 2013-03-04 |
| 1346596210 | Heartland Dental Care of Pennslyvania | Dentist | 1051 E Main St Ste 4, Waynesboro, PA 17268-2318 | 2012-07-30 |
| 1366679631 | Robert Clyde Wilson IIi | Dentist | 437 S Magnolia Ave, Waynesboro, VA 22980-3607 | 2009-06-15 |
| 1588838197 | Burke Dental Center PC | Dentist | 213 Council St, Waynesboro, GA 30830-1453 | 2008-04-15 |
| 1295903672 | Elizabeth Paige Crowder | Dentist | 41 Stoneridge Dr, Waynesboro, VA 22980-6523 | 2008-02-19 |
| 1891978029 | Michael E. Stout, Dds PC | Dentist | 30 Stoneridge Dr, Suite 102, Waynesboro, VA 22980-6522 | 2007-12-11 |
| 1265631949 | Joseph Daniel Stringer Jr. | Dentist | 803 Mississippi Drive, Waynesboro, MS 39367 | 2007-07-13 |
| 1942332218 | William Charles Berbes | Dentist | 1305 13th St Unit C-1, Waynesboro, VA 22980-3631 | 2007-03-12 |
| 1598829723 | Kenneth Darrell Bowman | Dentist | 529 A West Broad Street, Waynesboro, VA 22980-4597 | 2006-12-21 |
| Find all providers in WAYNESBORO | ||||
| City | WAYNESBORO |
| Zip Code | 22980 |
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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.