MARICARMEN STOUT SHIELDS (NPI# 1831585538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831585538 |
| Entity Type | Individual |
| Full Name | MARICARMEN STOUT SHIELDS |
| Other Name | MARICARMEN STOUT |
| Credential | M.D. |
| Practice Address |
1205 Se Professional Mall Blvd Ste 104 Pullman WA 99163-5423 |
| Mailing Address |
840 Se Bishop Blvd Ste 101 Pullman WA 99163-5502 |
| Practice Telephone | 5093322605 |
| Practice Fax Number | 5093345754 |
| Mailing Telephone | 5093326139 |
| Mailing Fax Number | 5093326579 |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD60853005 | WA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1420 S Blaine St Ste 5, Moscow, ID 838433973 | 2088822247 | 2088822292 |
| Street Address |
1205 SE PROFESSIONAL MALL BLVD STE 104 |
| City | PULLMAN |
| State | WA |
| Zip Code | 99163-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1245715788 | Chirs Sader | Specialist/Technologist | Cougar Way, Bohler Addition, Pullman, WA 99163 | 2018-10-01 |
| 1588158307 | Stefanie Clark | Massage Therapist | 1205 Se Bishop Blvd, Suite #109, Pullman, WA 99163 | 2018-06-15 |
| 1023523859 | Madeleine Degrasse | Specialist/Technologist | 1580 Ne Cougar Way, 265, Coleman, WA 99163 | 2017-12-01 |
| 1720517188 | Chelsea Michelle Luna | Specialist/Technologist | 705 Nw State St, Pullman, WA 99163 | 2017-06-08 |
| 1649706185 | Travis Reid Edwards | Specialist/Technologist | 1455 Ne Colorado St, Pullman, WA 99163 | 2017-05-03 |
| 1053775403 | Anna Grindeland | Dietitian, Registered | 555 Se Water St, Pullman, WA 99163 | 2016-04-12 |
| 1487991741 | Yoko Jingi | Specialist/Technologist | 1225 S Grand Ave., Pullman, WA 99163 | 2013-01-07 |
| 1003151572 | Jessie M Armstrong | Speech-Language Pathologist | 1805 Nw Canyonview Drive, Pullman, WA 99163 | 2012-12-10 |
| 1679827877 | Schweitzer Engineering Laboratories | Clinic/Center | 2440 Ne Hopkins Ct., Pullman, WA 99163 | 2012-11-09 |
| Find all providers in zip 99163 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659354835 | Alvin Lyle Frostad | Pediatrics | 1205 Se Professional Mall Blvd, Suite 104, Pullman, WA 99163-5423 | 2005-11-22 |
| 1255623732 | Jarrett Edward Stewart Riley | Pediatrics | 840 Se Bishop Blvd, Suite #101, Pullman, WA 99163-5502 | 2011-05-03 |
| 1821261728 | Methuel Andriano Vishnu Gordon | Pediatrics | 1205 Se Professional Mall Blvd, Suite 104, Pullman, WA 99163-5423 | 2008-04-11 |
| 1497728646 | Martha Hunt | Pediatrics | Ne 1125 Washington St, Washington State University, Pullman, WA 99164-0001 | 2006-02-08 |
| 1689657488 | Lennis K Boyer | Pediatrics | 1205 Se Professional Mall Blvd, Suite 104, Pullman, WA 99163-5423 | 2005-11-25 |
| 1649253840 | Michael J Frostad | Pediatrics | 1205 Se Professional Mall Blvd, Suite104, Pullman, WA 99163-5423 | 2005-11-22 |
| 1649253758 | Palouse Pediatrics, Pllc | Pediatrics | 1205 Se Professional Mall Blvd, Suite 104, Pullman, WA 99163-5423 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252011 | T-town Pediatrics Pllc | Pediatrics | 6002 Westgate Blvd Ste 260, Tacoma, WA 98406-2571 | 2020-10-15 |
| 1659997831 | Lauren Elizabeth Strout | Pediatrics | 2510 N Pines Rd Ste 1, Spokane Valley, WA 99206-7636 | 2020-06-23 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1407491251 | Edwin Low | Pediatrics | 6207 156th Ave Ne, Redmond, WA 98052-4828 | 2019-11-14 |
| 1700428323 | Michelle Kice | Pediatrics | 6201 Reid Dr Nw, Gig Harbor, WA 98335-1349 | 2019-10-15 |
| 1265085682 | North Sound Pediatrics | Pediatrics | 15808 Mill Creek Blvd Ste 201, Mill Creek, WA 98012-1500 | 2019-07-24 |
| 1053976589 | Nicole Marie Banks | Pediatrics | 9910 Levin Rd Nw Ste 200, Silverdale, WA 98383-7789 | 2019-05-09 |
| 1962964726 | Michael Arenson | Pediatrics | 4800 Sand Point Way Ne # Oc 7/8, Seattle, WA 98105-3901 | 2019-04-02 |
| 1083179154 | Sea - Mar Community Health Center | Pediatrics | 9635 Des Moines Memorial Dr, Seattle, WA 98108-5061 | 2019-02-04 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
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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.