DR. MICHAEL A. STOUT (NPI# 1346878352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346878352 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A. STOUT |
| Credential | PHD, HCLD |
| Practice Address |
40401 Bailey Dr Gonzales LA 70737-7168 |
| Practice Telephone | 3379627216 |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246QL0901X |
Spec/Tech, Pathology Specialization: Laboratory Management, Diplomate |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1235184995 | Michael Edward Stout | Dentist | 30 Stoneridge Drive, Suite 102, Waynesboro, VA 22980 | 2006-05-23 |
| 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 |
40401 BAILEY DR |
| City | GONZALES |
| State | LA |
| Zip Code | 70737-7168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
| 1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
| 1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| Find all providers in zip 70737 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407349095 | Impressive Diagnostics | Pathology | 7011 Read Blvd Ste I, New Orleans, LA 70127 | 2018-06-08 |
| 1053823153 | Danny Glenn Chance Jr. | Pathology | 3101 Cypress St Ste 6, West Monroe, LA 71291-5291 | 2017-10-30 |
Please comment or provide details below to improve the information on DR. MICHAEL A. STOUT.
| 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.