WILFRED OAKLEY STOUT


Address: 5803 Neal Ave N, Oak Park Heights, MN 55082-2177
Phone: 6514398807

WILFRED OAKLEY STOUT (NPI# 1548669955) 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) 1548669955
Entity Type Individual
Full Name WILFRED OAKLEY STOUT
Credential PAC
Practice Address 5803 Neal Ave N
Oak Park Heights
MN 55082-2177
Practice Telephone 6514398807
Practice Fax Number 6514390232
Mailing Telephone 6514398807
Mailing Fax Number 6514390232
Enumeration Date 2014-08-21
Last Update Date 2015-06-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
3442-23 WI Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
11732 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5803 NEAL AVE N
City OAK PARK HEIGHTS
State MN
Zip Code 55082-2177

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598761322 David Hadley Palmer Orthopaedic Surgery 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2005-06-27
1790230688 Daniel B Stark Physical Therapist 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2016-08-20
1700232444 Kelly Mcgough Specialist/Technologist 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2016-05-12
1255798757 Danielle M Stark Occupational Therapist 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2016-01-28
1134595978 Tracy E Bunnell Physician Assistant 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2015-08-17
1467839209 Kirtley Grace Compton Physician Assistant 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2015-04-30
1295138931 Britta Lee Carlson Physician Assistant 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2014-10-08
1144633165 Amy Hutter Specialist/Technologist 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2014-06-06
1275946394 Molly Augustine Specialist/Technologist 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2014-06-05
1215357108 Simon Henry Lueth Physician Assistant 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2014-04-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154947455 Lucas William Schmidt Optometrist 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 2020-06-23
1982238085 Jerald Haley Technician 924 6th Ave. S., Stillwater, MN 55082 2020-02-27
1801457387 Sun Trad Chin Acu Mn LLC Acupuncturist Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 2019-06-25
1598243990 Carlson Distinctive Dentistry, Pllc Dentist 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 2018-07-30
1073001624 Lindsay Beth Briggs Chiropractor 200 Chestnut St E, Ste 202, Stillwater, MN 55082 2018-04-30
1578932943 Group Health Plan, Inc Family Medicine 921 Greeley Street, Stillwater, MN 55082 2015-09-16
1184001919 Grant Rohrig Specialist/Technologist 8727 Jeffrey Ave North, Stillwater, MN 55082 2015-04-30
1346688991 Kellie Ann Seth Chiropractor 200 Chestnut St E Ste 202, Stillwater, MN 55082 2013-06-05
1770928426 Rivertown Animal Hospital Veterinarian 135 New England Place, Stillwater, MN 55082 2013-05-08
1285929265 Healtheast Medical Research Institute Dietitian, Registered 2900 Curve Crest Blvd, Stillwater, MN 55082 2011-06-17
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295138931 Britta Lee Carlson Physician Assistant 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2014-10-08
1215357108 Simon Henry Lueth Physician Assistant 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2014-04-18
1598107484 Molly Kathleen Hickey Physician Assistant 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2013-07-22
1114286911 Rachel A Brang Physician Assistant 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2012-05-14
1205195088 Fredrick C Wittleder Physician Assistant 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2012-05-14
1659387637 Dana Lynn Kaufman Physician Assistant 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2006-07-31
1396706511 Peter Richard Larson Physician Assistant 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2006-03-29
1457322984 William Joseph Ohl Physician Assistant 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2006-02-01
1063412112 Jennifer Ann Stanek Physician Assistant 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2005-07-29
1558368985 Russell A Mcgill Physician Assistant 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 2005-06-30
Find all providers in OAK PARK HEIGHTS

Competitor

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City OAK PARK HEIGHTS
Zip Code 55082

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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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