DAVID C STOUT (NPI# 1396854899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396854899 |
| Entity Type | Individual |
| Full Name | DAVID C STOUT |
| Credential | MD |
| Practice Address |
415 S 28th Ave Hattiesburg MS 39401-7246 |
| Practice Telephone | 6012685888 |
| Practice Fax Number | 6012613587 |
| Mailing Telephone | 6012685888 |
| Mailing Fax Number | 6015795240 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 14328 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE | 130011551 | 01 |
| MS | AMERICAN ADMIN GROUP | 640507572AV | 01 |
| MS | 00115125 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619190709 | David Edward Stout | Technician/Technologist | 121 N Kenazo Ave, Horizon City, TX 79928-5407 | 2007-04-10 |
| 1700822137 | David Allan Stout | Pathology | 723 Goldsborough Street, Easton, MD 21601-7356 | 2006-06-22 |
| 1417000365 | David M Stout | Anesthesiology | 1229 Madison St., Suite 1440, Seattle, WA 98104-3538 | 2007-01-22 |
| 1962487009 | David R Stout | Family Medicine | 225 S Pine St, Suite 200, Seymour, IN 47274-2365 | 2005-12-13 |
| 1992797005 | David Stout | Radiology | 221 W 8th St, Lorain, OH 44052-1817 | 2005-08-16 |
| Street Address |
415 S 28TH AVE |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-7246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225030372 | Norman Blake Moore Jr. | Nurse Anesthetist, Certified Registered | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2005-06-01 |
| 1457950842 | Tyler Griffin Armstrong | Nurse Anesthetist, Certified Registered | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2020-10-19 |
| 1538776679 | Hattiesburg Clinic, Pa | Clinic/Center | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2020-09-23 |
| 1205446804 | Robert Price Ledbetter | Perfusionist | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2020-08-07 |
| 1972143626 | Jarrod Edward Gant | Nurse Practitioner | 415 S 28th Ave, Hattiesburg, MS 39401-7283 | 2020-01-10 |
| 1720625841 | Corey Lyle Gambrell | Nurse Anesthetist, Certified Registered | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2019-12-09 |
| 1447802103 | Heather Pritchett Bassi | Nurse Practitioner | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2019-07-12 |
| 1891357588 | Dylan Winston Boyd | Nurse Practitioner | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2019-07-02 |
| 1578124186 | Casie Barnes | Nurse Practitioner | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2019-06-25 |
| 1992364491 | Stacy Louise Neames | Nurse Practitioner | 415 S 28th Ave, Hattiesburg, MS 39401-7283 | 2019-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164446522 | Nathan P Shappley | Urology | 101 Aldersgate Cir, Hattiesburg, MS 39402-1301 | 2006-07-27 |
| 1063824688 | John Moore | Urology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2014-06-02 |
| 1518386788 | Kaitlen Sicard Schexnayder | Urology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2014-04-15 |
| 1093081168 | Sean Philip Douglas | Urology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2012-03-22 |
| 1801058821 | Charles Robert Moore | Urology | 139 Fairfield Dr, Hattiesburg, MS 39402-1303 | 2008-06-30 |
| 1669553541 | Hattiesburg Clinic Pa | Urology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-10-18 |
| 1609960848 | Hattiesburg Clinic Pa | Urology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-10-03 |
| 1518076157 | Randolph J Ross | Urology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-08-29 |
| 1306955950 | Bradley N Secrest | Urology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-08-29 |
| 1346354081 | Woodie J Wilson Jr. | Urology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-08-19 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
Please comment or provide details below to improve the information on DAVID C 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.