DR. RANDALL C STOUT (NPI# 1295890317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295890317 |
| Entity Type | Individual |
| Full Name | DR. RANDALL C STOUT |
| Credential | MD |
| Practice Address |
3600 Capital Ave Sw Ste 203 Battle Creek MI 49015-9393 |
| Practice Telephone | 2699796383 |
| Practice Fax Number | 2699796381 |
| Mailing Telephone | 2699796383 |
| Mailing Fax Number | 2699796381 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | RS045322 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHP | 0831634 | 01 |
| MI | 383224959100 | 05 | |
| MI | LICENSE | RS048655 | 01 |
| MI | 3158180 | 05 |
| Street Address |
3600 CAPITAL AVE SW STE 203 |
| City | BATTLE CREEK |
| State | MI |
| Zip Code | 49015-9393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245293398 | John Earl Shaird | Anesthesiology | 3600 Capital Ave Sw, Ste 102, Battle Creek, MI 49015-9393 | 2006-04-10 |
| 1396135927 | Comprehensive Medical Care PC | Internal Medicine | 3600 Capital Ave Sw, Suite 204, Battle Creek, MI 49015-9393 | 2015-02-04 |
| 1609114719 | Cereal City Medical Inc | Pharmacy | 3600 Capital Ave Sw, Ste 202, Battle Creek, MI 49015-9393 | 2013-01-24 |
| 1235370339 | Robert William Wright IIi | Pharmacist | 3600 Capital Ave Sw, Battle Creek, MI 49015-9393 | 2009-03-19 |
| 1043428774 | Southern Michigan Ent P C | Otolaryngology | 3600 Capital Ave Sw, Suite 204, Battle Creek, MI 49015-9393 | 2007-05-18 |
| 1568528198 | Sw Michigan Eye Center Plc | Eyewear Supplier (Equipment, not the service) | 3600 Capital Ave Sw, Ste 203, Battle Creek, MI 49015-9393 | 2006-12-28 |
| 1912062084 | Peter Jeffery Colquhoun | Ophthalmology | 3600 Capital Ave Sw, Ste 203, Battle Creek, MI 49015-9393 | 2006-12-27 |
| 1013072198 | Larry Marvin Vanderplas | Ophthalmology | 3600 Capital Ave Sw, Ste 203, Battle Creek, MI 49015-9393 | 2006-12-27 |
| 1639234875 | Southwest Michigan Eye Center Plc | Optometrist | 3600 Capital Ave Sw, Ste 203, Battle Creek, MI 49015-9393 | 2006-12-27 |
| 1124125331 | Ambulatory Surgery Associates, LLC | Clinic/Center | 3600 Capital Ave Sw, Suite 101, Battle Creek, MI 49015-9393 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669020897 | Marcia Diane Alvarez | Technician | 515 Country Club Blvd, Battle Creek, MI 49015 | 2019-08-30 |
| 1508382540 | Ariel Lynn Jurban | Social Worker | 778 West Columbia Avenue, Battle Creek, MI 49015 | 2017-08-22 |
| 1780139543 | Cardiovascular Ultrasound Solutions, LLC | Spec/Tech, Cardiovascular | 77 South 20th Street, Cardio Suite, Battle Creek, MI 49015 | 2016-08-22 |
| 1487006953 | Ryan Lash | Hearing Instrument Specialist | 5475 Beckley Rd Suite 150, Battle Creek, MI 49015 | 2016-07-08 |
| 1962867150 | Lee Taylor Kuhn | Social Worker | 778 W. Columbia Ave, Battle Creek, MI 49015 | 2015-12-15 |
| 1306212022 | Teresa Wagner | Licensed Practical Nurse | 131 E Columbia Ave., Suite 115, Battle Creek, MI 49015 | 2015-08-17 |
| 1194101311 | Brittany Rene Kruger | Legal Medicine | 75 Mines Creek Pl, Battle Creek, MI 49015 | 2015-08-11 |
| 1164807103 | Timothy Meyer | Social Worker | 778 W Columbia Ave, Battle Creek, MI 49015 | 2015-07-20 |
| 1932534872 | Meggan Rae Volz | Physician Assistant | 5332 Beckly Road, Battle Creek, MI 49015 | 2013-09-11 |
| 1578902235 | Luiz Fernando Pantalena | Dentist | 2245 W. Columbia Ave, Suite 101, Battle Creek, MI 49015 | 2013-06-17 |
| Find all providers in zip 49015 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780957803 | James Edwin Macvicar | Ophthalmology | 1 Hiawatha Cove Trail, Battle Creek, MI 49015-3500 | 2012-02-21 |
| 1679726798 | Full Sail Partners, LLC | Ophthalmology | 2177 W Columbia Ave, Battle Creek, MI 49015-2847 | 2008-11-03 |
| 1720468119 | Marie Burke | Ophthalmology | 3600 Capital Ave Sw Ste 203, Battle Creek, MI 49015-9393 | 2015-06-01 |
| 1912062084 | Peter Jeffery Colquhoun | Ophthalmology | 3600 Capital Ave Sw, Ste 203, Battle Creek, MI 49015-9393 | 2006-12-27 |
| 1013072198 | Larry Marvin Vanderplas | Ophthalmology | 3600 Capital Ave Sw, Ste 203, Battle Creek, MI 49015-9393 | 2006-12-27 |
| 1770551798 | James L Keller | Ophthalmology | 2845 Capital Ave Sw, Suite 202, Battle Creek, MI 49015-4185 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894429 | Ryan Freedman | Ophthalmology | 2250 Providence Dr., 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-08 |
| 1457973018 | Neha Gupta | Ophthalmology | 1134 Woburn Grn, Bloomfield Hills, MI 48302-2300 | 2020-05-17 |
| 1003437823 | Great Lakes Eye Institute | Ophthalmology | 800 Woodside Ave, Bay City, MI 48708-5468 | 2020-05-04 |
| 1447899273 | Legacy Eye Institute Plc | Ophthalmology | 811 East Street, Lapeer, MI 48446-3033 | 2019-12-26 |
| 1013471515 | Marshall Ophthalmology, Pllc | Ophthalmology | 16468 Emily Corlett, Marshall, MI 49068-8323 | 2019-01-29 |
| 1023583564 | Rochester Ophthalmology, Pllc | Ophthalmology | 1135 W University Dr Ste 155, Rochester, MI 48307-1871 | 2018-10-11 |
| 1205301983 | Grand Blanc Opthalmology | Ophthalmology | 123 South Westnedge Ave, Kalamazoo, MI 49007-6420 | 2018-10-09 |
| 1548756141 | Marko Habekovic Md, Pllc | Ophthalmology | 1000 E Paris Ave Se Ste 111, Grand Rapids, MI 49546-3680 | 2018-07-06 |
| 1487189254 | Yaldo Eye Centers PC | Ophthalmology | 31535 Ford Rd, Garden City, MI 48135-1821 | 2017-04-28 |
| 1366895005 | Black & White Look Optical Corp | Ophthalmology | 15675 W 10 Mile Rd, Southfield, MI 48075-2188 | 2016-07-18 |
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| City | BATTLE CREEK |
| Zip Code | 49015 |
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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.