LISA STOUT


Address: 1060 E 100 S, Ste 110, Salt Lake City, UT 84102-1591
Phone: 8015319453

LISA STOUT (NPI# 1548263213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548263213
Entity Type Individual
Full Name LISA STOUT
Credential M.D.
Practice Address 1060 E 100 S
Ste 110
Salt Lake City
UT 84102-1591
Practice Telephone 8015319453
Practice Fax Number 8015319467
Mailing Telephone 8015319453
Mailing Fax Number 8015319467
Enumeration Date 2005-05-24
Last Update Date 2017-03-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist 373658-1205 UT Other Service Providers
Y 208800000X Urology 373658-1205 UT Allopathic & Osteopathic Physicians

Other Providers LISA STOUT

NPI Name Taxonomy Address Enumeration
1780953927 Lisa Kay Stout Speech-Language Pathologist 710 E Euclid St, Mcpherson, KS 67460-4516 2011-12-16
1346549979 Lisa Michelle Stout Family Medicine 891 W Main St, Suite 200, Dover Foxcroft, ME 04426-1059 2011-03-22
1881841088 Lisa D Stout Marriage & Family Therapist 2400 Washington Ave, Redding, CA 96001-2802 2008-08-19
1326235599 Lisa Marie Stout Chiropractor 57 W Van Buren St, Oswego, IL 60543-7213 2007-10-01
1952502064 Lisa E. Stout Registered Nurse 1249 Suncrest Town Centre Dr, Morgantown, WV 26505-1876 2007-05-29

Office Location

Street Address 1060 E 100 S
STE 110
City SALT LAKE CITY
State UT
Zip Code 84102-1591

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336686856 Wasatch Psychological Services, LLC Psychologist 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 2017-01-23
1982083440 Dr Amy Lynn Fehlberg Psychologist 1060 E 100 S, Ste 100, Salt Lake City, UT 84102-1582 2015-05-29
1386042760 John Richard Mcvey Physician Assistant 1060 E 100 S, Suite 110, Salt Lake City, UT 84102-1501 2014-12-16
1275940611 Sunnyside Pediatrics Clinic/Center 1060 E 100 S, #400, Salt Lake City, UT 84102-1501 2014-07-17
1164853651 Garcia Clinical Psychology, LLC Clinic/Center 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 2013-12-09
1447522859 Ryan Woodrow Wilkes Psychologist 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 2012-01-31
1912274309 Julia Jacobs Psychologist 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 2011-11-29
1609167899 Ryan Garcia Psychologist 1060 E 100 S, Suite 100, Salt Lake City, UT 84102-1501 2011-04-22
1225333842 Wh-bm Consultant LLC Specialist 1060 E 100 S, L10, Salt Lake City, UT 84102-1501 2011-01-12
1619108057 Amy Lynn Fehlberg Psychologist 1060 E 100 S, Ste 100, Salt Lake City, UT 84102-1582 2009-08-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942818604 Wendy Vazquez Behavior Technician 515 S 700 E Suit 2a, Salt Lake City, UT 84102 2020-07-20
1407481245 Odyssey House Inc Family Medicine 743 E 300 S, Salt Lake City, UT 84102 2020-03-11
1093359960 Hayle Mayer Behavior Technician 515 S 700 E Salt Lake City, Suite 2a, Salt Lake, UT 84102 2019-11-04
1326680869 Ronald Mcdonald House of The Intermountain Area Meals 935 E. South Temple, Salt Lake City, UT 84102 2019-10-16
1508419581 Claire Pemberton Behavior Technician 327 E 1300 S, Apt 2, Salt Lake City, UT 84102 2019-07-19
1558923144 Olivia Anne Hardwick Social Worker Transitions At Slrmc, 86 S. 1100 E. Suite 404, Salt Lake City, UT 84102 2019-07-03
1649741802 Colten Vancampen Behavior Technician 515 S 700 E #2a, Salt Lake City, UT 84102 2018-12-16
1457847964 Utah Podiatry Group PC Podiatrist 24 S 1100 E Ste 120, Salt Lake City, UT 84102 2018-07-09
1104311661 Malorey Kooyman Behavior Technician 515 700 East, Suite 2a, Salt Lake City, UT 84102 2018-06-27
1700384930 Utah Podiatry Group PC Podiatrist 82 S 1100 E Ste 301, Salt Lake City, UT 84102 2018-01-23
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154945061 Utah Urology Works LLC Urology 4252 S Highland Dr Ste 200, Salt Lake City, UT 84124-2690 2020-06-05
1619402286 Andrew Mazzone Urology University of Utah Som Division of Urology, 30 North 1900 East, Salt Lake City, UT 84132-0001 2017-04-20
1588195135 Laurel S. Mast Urology 30 N 1900 E Rm 3b427, Salt Lake City, UT 84132-0002 2017-03-24
1588933527 Hal H Bourne Urology 3250 Millcreek Dell Ln, Salt Lake City, UT 84109-3184 2011-12-20
1851627756 Ned Legrande Mangelson Urology 2691 Roxbury Cir, Salt Lake City, UT 84108-2841 2009-10-27
1801067954 Sara Marie Lenherr Urology 30 N 1900 E Rm 3b420, Salt Lake City, UT 84132-0002 2008-03-17
1982815718 Stanford S. Putman Urology 324 10th Ave Ste 178, Salt Lake City, UT 84103-2885 2007-05-24
1346396959 Jeremy Myers Urology University of Utah Division of Urology, 30 N 1900 E, Rm 3b420, Salt Lake City, UT 84132-0001 2007-01-26
1902364797 Matthew S. Swallow Urology 30 N 1900 E Rm 3b427, Salt Lake City, UT 84132-0002 2019-03-11
1841757333 Sharon P. Lo Urology 50 N Medical Dr, Salt Lake City, UT 84132-0001 2019-02-21
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84102

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Dataset Information

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.

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