Christa Nicole Stout (NPI# 1073919205, PAC ID# 7214252592) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1073919205 |
| PAC ID by PECOS | 7214252592 |
| Professional Enrollment ID | I20150209000137 |
| Full Name | Christa Nicole Stout |
| Organization Legal Name | MINNESOTA EPILEPSY GROUP PA |
| Address |
333 Smith Ave N Saint Paul MN 55102-2344 |
| Phone Number | 6512408000 |
| Gender | F |
| Medical School | NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6709771363 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240038 | ALLINA UNITED HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2697 | 6512415290 | MINNESOTA EPILEPSY GROUP PA |
| 333 Smith Ave N, Saint Paul, MN 55102-2344 | 6512408000 | MINNESOTA EPILEPSY GROUP PA |
| Organization Legal Name | MINNESOTA EPILEPSY GROUP PA |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul B Atkinson | Neurology | Minnesota Epilepsy Group Pa | 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2697 |
| Julia L Doss | Psychologist, Clinical | Minnesota Epilepsy Group Pa | 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2697 |
| Kevin M Harrington | Psychologist, Clinical | Minnesota Epilepsy Group Pa | 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2697 |
| Julie Estelle M Hanna | Neurology | Minnesota Epilepsy Group Pa | 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2697 |
| Palak Shah | Neurology | Minnesota Epilepsy Group Pa | 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2697 |
| Megan A Schmittdiel | Physician Assistant | Minnesota Epilepsy Group Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Douglas Michael Smith | Neurology | Minnesota Epilepsy Group Pa | 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2697 |
| Michael D Frost | Neurology | Minnesota Epilepsy Group Pa | 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2697 |
| Robert C Doss | Psychologist, Clinical | Minnesota Epilepsy Group Pa | 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2697 |
| Gail L Risse | Psychologist, Clinical | Minnesota Epilepsy Group Pa | 225 Smith Ave N, Suite 201, Saint Paul, MN 55102-2697 |
| Street Address |
333 SMITH AVE N |
| City | SAINT PAUL |
| State | MN |
| Zip | 55102-2344 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet Leslie Grayson | Internal Medicine | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Jean J Jasienski | Certified Registered Nurse Anesthetist (crna) | Metropolitan Anesthesia Network LLP | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Todd A Shea | Podiatry | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Neil P Phelan | Internal Medicine | Minnesota Gastroenterology Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Thomas P Laberge | Anesthesiology | Associated Anesthesiologists Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Mark T Destache | Anesthesiology | Associated Anesthesiologists Pa | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Dylan A Bindman | General Practice | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Charles G Terzian | Internal Medicine | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Panduka Samarawardana | Internal Medicine | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Jane Elizabeth Monita | Nurse Practitioner | Allina Health System | 333 Smith Ave N, Saint Paul, MN 55102-2344 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Reid A Martinson | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Nathan M Frink | Internal Medicine | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Orren Wexler | Internal Medicine | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Faisal M Choudhry | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Mueni C Mualuko | Nurse Practitioner | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Joshua B Colton | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Genet N Ghebre | Nurse Practitioner | Healtheast Medical Research Institute | 69 Exchange W St, Saint Paul, MN 55102-1004 |
| Thomas Christopher Sanneman | Anesthesiology | Associated Anesthesiologists Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Douglas B Nelson | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Patrick M Oreilly | Gastroenterology | Minnesota Gastroenterology Pa | 69 Exchange St W, Saint Paul, MN 55102-1004 |
| Find all physicians in zip 55102 | |||
| City | SAINT PAUL |
| Zip Code | 55102 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAINT PAUL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Christa Nicole Stout.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.