CHRISTOPHER LEE STOUT (NPI# 1760697783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760697783 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER LEE STOUT |
| Credential | M.D. |
| Practice Address |
2115 S Fremont Ave Suite 5000 Springfield MO 65804-2239 |
| Practice Telephone | 4178203960 |
| Mailing Telephone | 4178203960 |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2016-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 56370 | GA | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
0101247398 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093209157 | Christopher Stout | Internal Medicine | 245 N 15th St, 6th Floor, Ms 427, Philadelphia, PA 19102 | 2018-06-21 |
| 1386922540 | Christopher Stout | Community Health Worker | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2011-07-21 |
| 1972820868 | Christopher W Stout | Psychologist | 950 E Harvard Ave, Ste 310, Denver, CO 80210-7009 | 2010-04-30 |
| Street Address |
2115 S FREMONT AVE SUITE 5000 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65804-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383543 | Steven K Bowlin | Internal Medicine | 2115 S Fremont Ave, Ste 2300, Springfield, MO 65804-2239 | 2005-08-11 |
| 1932656535 | Jill Cotner | Registered Nurse | 2115 S Fremont Ave, Ste 3300, Springfield, MO 65804-2239 | 2016-09-01 |
| 1427437185 | Ashleigh D. Gentles | Nurse Practitioner | 2115 S Fremont Ave, Springfield, MO 65804-2239 | 2015-05-27 |
| 1063805489 | Chad D. Holland | Physician Assistant | 2115 S Fremont Ave, Suite 5000, Springfield, MO 65804-2239 | 2015-03-10 |
| 1609267731 | Chrystal M. Killinger | Nurse Practitioner | 2115 S Fremont Ave, Suite 3300, Springfield, MO 65804-2239 | 2015-02-11 |
| 1497145767 | Joshua Steven Reece | Physician Assistant | 2115 S Fremont Ave, Ste 5000, Springfield, MO 65804-2239 | 2015-01-26 |
| 1154724144 | Melissa Diane Grisaffe | Nurse Practitioner | 2115 S Fremont Ave, Springfield, MO 65804-2239 | 2014-10-03 |
| 1790102366 | Breanna R. Burks | Physician Assistant | 2115 S Fremont Ave, Ste 4300, Springfield, MO 65804-2239 | 2014-03-21 |
| 1154745537 | Tarrah Divine | Nurse Practitioner | 2115 S Fremont Ave, Ste 4300, Springfield, MO 65804-2239 | 2014-02-06 |
| 1831539428 | Lacy A. Schnelle | Registered Nurse | 2115 S Fremont Ave, Suite 4300, Springfield, MO 65804-2239 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790393049 | Kathy Forson | Nurse Practitioner | 1235 E. Cherokee St., Springfield, MO 65804 | 2020-07-22 |
| 1306498779 | Anne B Summers, LLC | Social Worker | 1310 E. Kingsley St., Ste C, Springfield, MO 65804 | 2019-07-15 |
| 1790241800 | Margaret Mary Hart | Social Worker | 1845 S Rogers Ave, Springfield, MO 65804 | 2019-02-13 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1124520697 | Shelby D White | Behavioral Analyst | 1300 E. Bradford Parkway, Springfield, MO 65804 | 2018-03-01 |
| 1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
| 1699273763 | Leah Wilson | Counselor | 1322 E Woodgate, Springfield, MO 65804 | 2018-01-24 |
| 1295242626 | Matthew Crisp | Physical Therapist | 3252 E Independence St, Springfield, MO 65804 | 2018-01-08 |
| 1518491042 | Crystal Spangler | Dietitian, Registered | 1965 S Fremont Ave Ste 220, Springfield, MO 65804 | 2017-04-11 |
| 1588012033 | Jeffrey Williams | Pharmacist | 1235 E. Cherokee, Springfield, MO 65804 | 2016-05-25 |
| Find all providers in zip 65804 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588105811 | Mickey Graphia | Surgery | 701 N 1st St # D346, Springfield, IL 62702 | 2017-03-20 |
| 1962791632 | Rishi Subbarayan | Surgery | 960 16th St, Springfield, OR 97477-4175 | 2011-04-04 |
| 1720220759 | Kathleen M Lamb | Surgery | 446 Kent Rd, Springfield, PA 19064-3306 | 2009-04-06 |
| 1417943937 | Kim J Hodgson | Surgery | 340 W Miller St, Springfield, IL 62702-4928 | 2005-09-20 |
| 1275525743 | Michael D Addis | Surgery | 649 Morris Ave, Springfield, NJ 07081-1518 | 2005-08-19 |
| 1861496242 | Springfield Surgery PC | Surgery | 322 Northcrest Dr, Springfield, TN 37172-3963 | 2005-06-13 |
| 1497315873 | Shawn Poole | Surgery | 701 N 1st St # D346, Springfield, IL 62702-3757 | 2019-06-18 |
| 1952830473 | Ruhani Nanavati | Surgery | 701 N 1st St # D346, Springfield, IL 62702-3757 | 2017-06-08 |
| 1356894521 | Tian Zhang | Surgery | 701 N 1st St, Springfield, IL 62702-3757 | 2016-07-25 |
| 1730528563 | Emily Marie Serafin | Surgery | 800 N 1st St, Springfield, IL 62702 | 2013-06-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65804 |
Please comment or provide details below to improve the information on CHRISTOPHER LEE 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.