DR. ERIC CAMERON STOUT (NPI# 1730296112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730296112 |
| Entity Type | Individual |
| Full Name | DR. ERIC CAMERON STOUT |
| Credential | M.D. |
| Practice Address |
2500 Starling St Ste 305 Brunswick GA 31520-4265 |
| Practice Telephone | 9125540542 |
| Practice Fax Number | 9125540475 |
| Mailing Telephone | 9125540542 |
| Mailing Fax Number | 9125540475 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2016-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 056629 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | TAX ID | 20-3106721 | 01 |
| GA | 660215053A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457885667 | Eric Stout | Student in an Organized Health Care Education/Training Program | 2201 Hempstead Tpke, East Meadow, NY 11554-1859 | 2017-04-13 |
| 1760772644 | Eric Stout | Physical Therapist | 279 Main St, Suite 114, Frisco, TX 75034-4306 | 2011-04-13 |
| Street Address |
2500 STARLING ST STE 305 |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-4265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| 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 |
|---|---|---|---|---|
| 1629495510 | The Nemours Foundation | Pediatrics | 3025 Shrine Rd Ste 350, Brunswick, GA 31520-4786 | 2014-03-28 |
| 1942328091 | University Primary Care Practices | Pediatrics | 3812 Center Rd Ste 100, Brunswick, OH 44212-3025 | 2007-03-27 |
| 1902944234 | Ayman Aljabi | Pediatrics | 2920 Player St, Brunswick, GA 31520-4923 | 2007-02-01 |
| 1285781575 | Evelyn Delois Johnson | Pediatrics | 1600 Gloucester St, Brunswick, GA 31520-7145 | 2007-01-05 |
| 1972616852 | Gilberto J Martorell-marquez | Pediatrics | 11 Gable Court, Brunswick, GA 31525-6738 | 2006-08-16 |
| 1225079452 | Michael Townsend Cooper Jr. | Pediatrics | 3208 Shrine Rd, Brunswick, GA 31520-4325 | 2006-06-09 |
| 1376511634 | Lily A See | Pediatrics | 1839 Pearl Rd, Suite A-101, Brunswick, OH 44212 | 2006-03-10 |
| 1902886872 | Alyssa Goodwin | Pediatrics | 74 Baribeau Dr, Brunswick, ME 04011-3218 | 2006-01-18 |
| 1871579060 | Roderick F Luhn | Pediatrics | 650 Sewall Street, Branch Health Clinic Naval Air Station, Brunswick, ME 04011 | 2005-12-20 |
| 1356874598 | Elena V Bryant | Pediatrics | 3300 4th St, Brunswick, GA 31520-3779 | 2017-04-05 |
| Find all providers in BRUNSWICK | ||||
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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.