KIMBER M STOUT


Address: 2085 S Pacheco St, Suite A, Santa Fe, NM 87505-5473
Phone: 5059848012

KIMBER M STOUT (NPI# 1487658399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487658399
Entity Type Individual
Full Name KIMBER M STOUT
Credential MD
Practice Address 2085 S Pacheco St
Suite A
Santa Fe
NM 87505-5473
Mailing Address Po Box 8387
Albuquerque
NM 87198-8387
Practice Telephone 5059848012
Practice Fax Number 5059882612
Mailing Telephone 5058411000
Mailing Fax Number 5058432853
Enumeration Date 2005-06-08
Last Update Date 2013-03-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
2003-0705 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM 51384795 05

Office Location

Street Address 2085 S PACHECO ST
SUITE A
City SANTA FE
State NM
Zip Code 87505-5473

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841294758 Robert Brad Stamm Internal Medicine 2085 S Pacheco St, Santa Fe, NM 87505-6103 2005-06-08
1780928218 St. Vincent Hospital Internal Medicine 2085 S Pacheco St, Santa Fe, NM 87505-6103 2012-11-21
1821244385 Adam P Ronan Internal Medicine 2085 S Pacheco St, Santa Fe, NM 87505 2008-08-14
1881627479 Marcellin L Simard Internal Medicine 2085 S Pacheco St, Santa Fe, NM 87505-6103 2006-07-08
1639102023 Linda Wassner Nurse Practitioner 2085 S Pacheco St, Santa Fe, NM 87505-6103 2006-07-08
1669441697 Gerardine Vigil-bartels Registered Nurse 2085 S Pacheco St, Santa Fe, NM 87505-6103 2006-03-14
1619943529 Mark Richard Zolnick Internal Medicine 2085 S Pacheco St, Santa Fe, NM 87505-6103 2006-02-28
1871597674 Christopher Robert Charles Wyndham Internal Medicine 2085 S Pacheco St, Santa Fe, NM 87505-6103 2005-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154939031 Enchanted Sky Hospice,llc Hospice Care, Community Based 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 2020-07-16
1700409968 Caa Consulting, LLC Clinic/Center 1448 S St. Francis Drive, Santa Fe, NM 87505 2020-05-22
1104447093 Dana Marie Tsyconyea Simmons Counselor 1640 Calle Medico, Suite E, Santa Fe, NM 87505 2020-05-01
1114574217 Kumara Hampton Therapy, LLC Counselor 11 Calle Medico Suite 4, Santa Fe, NM 87505 2019-08-22
1245886977 Caroline Ward Technician 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 2019-08-19
1205490752 Alyson Yacono Physical Therapist 104 Old Las Vegas Highway, Santa Fe, NM 87505 2019-04-30
1366919649 Allyson Matthews Speech-Language Pathologist Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 2018-10-25
1093280281 Diamond Care Santa Fe LLC Skilled Nursing Facility 635 Harkle Road, Santa Fe, NM 87505 2018-10-04
1972087054 Changing Woman Initiative Advanced Practice Midwife 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 2018-09-24
1154812782 Heart Wing, LLC Social Worker 2724 Alamosa Drive, Santa Fe, NM 87505 2018-05-18
Find all providers in zip 87505

Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306896246 Stephen Thomas Bernard Internal Medicine 407 S Schwartz Ave Ste 202, Farmington, NM 87401-5925 2006-05-11
1841286549 Kent L Richards Internal Medicine 2405 S Telshor Blvd, Las Cruces, NM 88011-5049 2005-09-27
1801890702 Elizabeth O. Palmer Internal Medicine 2525 S Telshor Blvd, Bildg 14 Suite 102, Las Cruces, NM 88011-5071 2005-06-08
1053315390 Robert E. Federici Internal Medicine 201 Cedar St Se, Suite 7600, Albuquerque, NM 87106-4917 2005-06-01
1497932503 Raymond Manho Yau Internal Medicine 502 Elm St Ne, Albuquerque, NM 87102-2512 2008-01-31
1710184163 Sudhakar Virendra Girotra Internal Medicine 407 S Schwartz Ave, Suite 202, Farmington, NM 87401-5925 2007-06-29
1598968901 Yazan H Alkhouri Internal Medicine 400 Military Heights Pl, Roswell, NM 88201-6407 2007-06-06
1538209994 Mahamadu Fuseini Internal Medicine 2000 W 21st St, Clovis, NM 88101-4087 2007-02-07
1306914213 Lovelace Health System LLC Internal Medicine 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2006-11-30
1225075526 Stephen Mackerrow Internal Medicine 407 S Schwartz Ave Ste 202, Farmington, NM 87401-5925 2006-06-02
Find all providers with the same taxonomy

Competitor

Search similar providers

City SANTA FE
Zip Code 87505

Improve Information

Please comment or provide details below to improve the information on KIMBER M STOUT.

Dataset Information

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.

Trending Searches