STACEY J STOUT (NPI# 1356389068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356389068 |
| Entity Type | Individual |
| Full Name | STACEY J STOUT |
| Credential | M.D. |
| Practice Address |
6080 Boynton Beach Blvd Ste 240 Boynton Beach FL 33437-3586 |
| Mailing Address |
1920 Palm Beach Lakes Blvd Ste 201 West Palm Beach FL 33409-3506 |
| Practice Telephone | 5615095009 |
| Practice Fax Number | 5617380556 |
| Mailing Telephone | 5615095009 |
| Mailing Fax Number | 5617381822 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ME0095291 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0275511400 | 05 | |
| FL | BCBS OF FL | 68810 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619355195 | Stacey A. Stout | Advanced Practice Midwife | 650 Coliseum Pl, Macon, GA 31217-3867 | 2015-05-15 |
| Street Address |
6080 BOYNTON BEACH BLVD STE 240 |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33437-3586 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073515532 | Deborah R. Nuessly | Pediatrics | 6080 Boynton Beach Blvd Ste 240, Boynton Beach, FL 33437-3586 | 2005-08-15 |
| 1679041891 | Shannon Rebecca Segaloff | Pediatrics | 6080 Boynton Beach Blvd Ste 240, Boynton Beach, FL 33437-3586 | 2018-11-06 |
| 1679063226 | Stephanie Mittauer | Nurse Practitioner | 6080 Boynton Beach Blvd Ste 240, Boynton Beach, FL 33437-3586 | 2018-05-18 |
| 1528249976 | Palm Beach Pediatrics | Psychologist | 6080 Boynton Beach Blvd Ste 240, Boynton Beach, FL 33437-3586 | 2007-11-14 |
| 1346209244 | Palm Beach Pediatrics, Pa | Psychologist | 6080 Boynton Beach Blvd Ste 240, Boynton Beach, FL 33437-3586 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1730725086 | Uttamkumar Sheladiya | Pharmacist | 12080 South Jog Rod, Boyton Beach, FL 33437 | 2019-11-21 |
| 1831601608 | Sheri Keehn | Nurse Practitioner | 6713 Conch Ct, Boynton Beach, FL 33437 | 2017-11-01 |
| 1265958037 | Kiersten Lutchi | Behavior Technician | 7862 Red Mahogany Road, Boynton Beach, FL 33437 | 2017-08-14 |
| 1740725084 | Marie Maxi | Behavior Technician | 6713 Heritage Grande, 1206, Boynton Beach, FL 33437 | 2016-12-22 |
| 1184071623 | Darronique Johnson | Technician, Other | 10779 Cambay Cr., Boynton Beach, FL 33437 | 2016-05-14 |
| 1033580709 | Brett R. Hutton, M.d., P.a. | Internal Medicine | 10301 Hagen Ranch Rd Ste B550, Boynton Beach, FL 33437 | 2015-10-07 |
| 1104258417 | Domenick Andrew Cerullo | Dentist | 10150 Hagen Ranch Road Suite 202, Dental Arts of Boynton Beach, P.a., Boynton Beach, FL 33437 | 2013-08-09 |
| 1275883399 | Kate A Vazquez | Physician Assistant | 7593 Boynton Beach Blvd Ste 190, Boynton Beach, FL 33437 | 2012-09-17 |
| 1912256009 | Kristi Joy Kline | Physical Therapist | 11135 South Jog Road, Suite 1, Boynton Beach, FL 33437 | 2012-09-05 |
| Find all providers in zip 33437 | ||||
| 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 |
|---|---|---|---|---|
| 1508101924 | Seymour L Handler | Pediatrics | 9428 Ivory Isle Rd, Boynton Beach, FL 33473-7874 | 2012-12-11 |
| 1275889040 | It Medical Billing and Coding, LLC | Pediatrics | 7494 Brunswick Cir, Boynton Beach, FL 33472-2537 | 2012-07-31 |
| 1538302021 | Petra Kaye Mcewan | Pediatrics | 9868 S State Road 7 Ste 305, Boynton Beach, FL 33472-4475 | 2009-04-13 |
| 1457415085 | The Childrens Doctor | Pediatrics | 8200 Jog Rd Ste 102, Boynton Beach, FL 33437-2981 | 2006-12-20 |
| 1588604565 | Jeanne K. Letsky | Pediatrics | 10301 Hagen Ranch Rd Ste 760, Boynton Beach, FL 33437-3777 | 2006-06-07 |
| 1073515532 | Deborah R. Nuessly | Pediatrics | 6080 Boynton Beach Blvd Ste 240, Boynton Beach, FL 33437-3586 | 2005-08-15 |
| 1477555340 | Scott David Fisch | Pediatrics | 8200 S Jog Rd Ste 203, Boynton Beach, FL 33472-2981 | 2005-08-11 |
| 1861493108 | Daniel Paul Kraft | Pediatrics | 8200 So. Jog Rd., #101 Palm Beach Pediatrics, Boynton Beach, FL 33472-2981 | 2005-08-09 |
| 1346243359 | Regine Bataille | Pediatrics | 1260 S Federal Hwy, Ste 202, Boynton Beach, FL 33435-6045 | 2005-05-23 |
| 1679041891 | Shannon Rebecca Segaloff | Pediatrics | 6080 Boynton Beach Blvd Ste 240, Boynton Beach, FL 33437-3586 | 2018-11-06 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33437 |
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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.