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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
2003-0705 | NM | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 51384795 | 05 |
Street Address |
2085 S PACHECO ST SUITE A |
City | SANTA FE |
State | NM |
Zip Code | 87505-5473 |
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 |
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 Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
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) |
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 |
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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.