Individual provider Active NPI

Jose Antonio Stoute, MD

  • Infectious Disease Physician
  • Hollywood, FL
National Provider Identifier
1275691925
Registry record updated Sep 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD434601 Issued in PA
Practice address
4430A Sheridan St Ste a
Hollywood, FL 33021-3514
Phone
(954) 962-0040
Fax
(954) 962-7901
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 029798 GA
Infectious Disease Physician 207RI0200X MD434601 PA Primary

Addresses

Primary practice location

4430A Sheridan St Ste a
Hollywood, FL 33021-3514

Mailing address

4430A Sheridan St Ste a
Hollywood, FL 33021-3514
Phone (954) 962-0040

Other identifiers 1

IdentifierTypeStateIssuer
1022374060001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029798GAMDInfectious Disease Physician
MD434601PAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zide Spitzer & Finlay MD PA Infectious Disease CurrentSince Oct 16, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Oct 28, 2016 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Infectious Disease CurrentSince Aug 1, 2008 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Oct 28, 2016 Accepting new patients
Lafayette General Medical Center Inc. Current Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Jul 1, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Lafayette General Medical Center Inc CurrentSince Jul 1, 2024 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Aug 1, 2008 Accepting new patients

Locations

4430 Sheridan St
Ste A
Hollywood, FL 33021
Phone (954) 962-0040

4420 Sheridan St
Ste A
Hollywood, FL 33021
Phone (754) 201-1340

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

155 Hospital Dr
Ste 100
Lafayette, LA 70503
Phone (337) 235-7743

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Interoperability endpoints

  • Direct secure messaging: jstoute274354@direct.leememorial.org
  • Direct secure messaging: jstoute2288872@direct.ochsner.org

Organizations & group practices 10

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630800000000",
    "number": "1275691925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4430A SHERIDAN ST STE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213514",
            "telephone_number": "954-962-0040",
            "fax_number": "954-962-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430A SHERIDAN ST STE A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213514",
            "telephone_number": "954-962-0040",
            "fax_number": "954-962-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUTE",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-09-05",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "029798",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PA",
            "license": "MD434601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022374060001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.