DR. JEREMY WAYNE STOUT (NPI# 1003370321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003370321 |
| Entity Type | Individual |
| Full Name | DR. JEREMY WAYNE STOUT |
| Credential | PH.D. |
| Practice Address |
269 Lookout Hill Rd Milford CT 06461-1899 |
| Practice Telephone | 2039325711 |
| Mailing Telephone | 8083754414 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
269 LOOKOUT HILL RD |
| City | MILFORD |
| State | CT |
| Zip Code | 06461-1899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477017648 | Connecticut Orthopaedic Surgery Center, LLC | Clinic/Center | 205 Sub Way Drive, Milford, CT 06461 | 2019-01-22 |
| 1922592732 | Sherry Lucke | Nurse Practitioner | 26 Milford Hunt Ln, Milford, CT 06461 | 2018-06-15 |
| 1609302876 | Michael Romano | Marriage & Family Therapist | 57 Plains Rd Ste 3c, Milford, CT 06461 | 2017-05-10 |
| 1306220868 | Marie Charlene Louisgene | Dental Assistant | 25 Arlmont Street, Milford, CT 06461 | 2015-07-15 |
| 1275920753 | Alicea Corey | Marriage & Family Therapist | 580 Naugatuck Ave, Milford, CT 06461 | 2015-04-22 |
| 1891882478 | David M Brothers | Ophthalmology | 255 W River St, Milford, CT 06461 | 2006-10-06 |
| 1386884294 | Gail Grace Seamonds | Nurse Anesthetist, Certified Registered | 39 Lavery Ln, Milford, CT 06461-1625 | 2009-03-05 |
| 1588085591 | Linda C. Grenus | Occupational Therapist | 48 Wellington Rd, Milford, CT 06461-1641 | 2013-12-17 |
| 1669085692 | Jaclyn Bria | Occupational Therapist | 48 Wellington Rd, Milford, CT 06461-1641 | 2020-08-28 |
| 1477165314 | Brian Ing | Physical Therapist | 48 Wellington Rd, Milford, CT 06461-1641 | 2020-08-21 |
| Find all providers in zip 06461 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124652896 | Luke Joseph Edmondson | Student in an Organized Health Care Education/Training Program | 881 W River St, Milford, CT 06461-1917 | 2020-03-02 |
| 1992269641 | Newell Crane | Student in an Organized Health Care Education/Training Program | 675 Hobby Horse Ln, Milford, OH 45150-1461 | 2019-01-28 |
| 1760930788 | Joann Zazula | Student in an Organized Health Care Education/Training Program | 162 Yale Rd, Milford, PA 18337-5098 | 2016-09-19 |
| 1649622978 | Harpreet Sawhney | Student in an Organized Health Care Education/Training Program | 102 E Broadway Apt B, Milford, CT 06460-6137 | 2016-07-11 |
| 1720434871 | Seth Rule | Student in an Organized Health Care Education/Training Program | 102 Spruce St, Milford, CT 06460-3526 | 2016-05-09 |
| 1700068822 | Nadine Herard | Student in an Organized Health Care Education/Training Program | 94 Badger Hill Dr, Milford, NH 03055-3322 | 2007-11-30 |
| 1104425115 | Melissa C Jarest | Student in an Organized Health Care Education/Training Program | 219 E Main St, Milford, MA 01757-2823 | 2020-10-21 |
| 1386270437 | Kristen Michelle Ciccarelli | Student in an Organized Health Care Education/Training Program | 725 N Milford Rd, Milford, MI 48381-1536 | 2020-03-20 |
| 1780218453 | Patrick Donovan Hall | Student in an Organized Health Care Education/Training Program | 39 Central Ave, Milford, CT 06460-4705 | 2020-03-02 |
| 1285194308 | Arif Hafeez | Student in an Organized Health Care Education/Training Program | 200 Frenchtown Rd, Milford, NJ 08848-1329 | 2019-03-24 |
| Find all providers in MILFORD | ||||
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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.