Individual provider Active NPI

Linda A Stout, MD, MS-EPI, FAAP

  • Pediatric Hematology & Oncology Physician
  • Huntington, WV
National Provider Identifier
1083660328
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
24847 Issued in WV
Practice address
1400 Hal Greer Blvd
Huntington, WV 25701-4114
Phone
(304) 399-6503
Fax
(304) 399-6659
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 11993 MT
Pediatrics Physician 208000000X 4906 SD
Pediatric Hematology & Oncology Physician 2080P0207X 311631 LA
Pediatric Hematology & Oncology Physician 2080P0207X 11897 ND
Pediatric Hematology & Oncology Physician 2080P0207X 29771 AL
Pediatric Hematology & Oncology Physician 2080P0207X 24847 WV Primary

Addresses

Primary practice location

1400 Hal Greer Blvd
Huntington, WV 25701-4114

Mailing address

1340 Hal Greer Blvd
Huntington, WV 25701-3800
Phone (304) 399-6503

Other practice location 1

7777 Hennessy Blvd Ste 312
Baton Rouge, LA 70808-4365
Phone (225) 763-6337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190111002467 OK Practitioner - Hematology/Oncology 3971599663 Reassigns benefits to 1 organization
I20190308000547 LA Practitioner - Pediatric Medicine 3971599663 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11993MTMDPediatrics Physician
4906SDMDPediatrics Physician
29771ALMDPediatric Hematology & Oncology Physician
11897NDMDPediatric Hematology & Oncology Physician
24847WVMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Jan 1, 2019 Accepting new patients
Our Lady of the Lake Physician Group LLC Pediatrics Current Accepting new patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Pediatrics CurrentSince Feb 15, 2019 Accepting new patients

Locations

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1083660328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013800",
            "telephone_number": "304-399-6503",
            "fax_number": "304-399-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HAL GREER BLVD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257014114",
            "telephone_number": "304-399-6503",
            "fax_number": "304-399-6659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Hennessy Blvd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084365",
            "country_code": "US",
            "telephone_number": "225-763-6337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOUT",
        "first_name": "LINDA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD, MS-EPI, FAAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "11993",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SD",
            "license": "4906",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "LA",
            "license": "311631",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "ND",
            "license": "11897",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "AL",
            "license": "29771",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "WV",
            "license": "24847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.