Kathryn K Stout, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

0101046636 Issued in VA

Practice address

102 DMV Dr
Kilmarnock, VA 22482-3843

Phone

(804) 436-8038

Fax

(804) 435-6029

NPI assigned

Dec 6, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virginia Womens Center Inc

  • Specialist
  • Richmond, VA
  • NPI 1740594332
  Medicare reassignment NPD Authorized official
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Summit Health Care Inc

  • Specialist
  • Richmond, VA
  • NPI 1568418655
  NPD (past)
• Summit Health Care, Inc.

  • Obstetrics & Gynecology Physician
  • Colonial Heights, VA
  • NPI 1598861411
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1023092608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 GLEN FOREST DR",
            "address_2": "SUITE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263754",
            "telephone_number": "804-288-4048",
            "fax_number": "804-282-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DMV DR",
            "city": "KILMARNOCK",
            "state": "VA",
            "postal_code": "224823843",
            "telephone_number": "804-436-8038",
            "fax_number": "804-435-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "KATHRYN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101046636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023092608",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• M Suzanne Souders, LCSW
• William R Stallings, M.D.
• Rebecca Sterrett, MA, CAGS
• Darlene M Stibal, MD
• Jessica Dodds Stone, FNP
• Kimberly A. Stout, M.ED., CCC-A, FAAA
• Kelly M Strickland, PA
• Stylish Eyes Inc.
• Diane Jarrels Sullivan, PTA
• Paul Sutherland, M.D.

• Obstetrics & Gynecology Physician in Kilmarnock, VA
• Providers in Kilmarnock, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.