Molly Amory Stout, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

036.156344 Issued in IL

Practice address

363 W. Erie Street
Suite 350
Chicago, IL 60654

Phone

(312) 995-1955

Fax

(312) 995-1956

NPI assigned

Jun 20, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Molly Amory Storer Former name

Medicare fee-for-service enrollment

Enrolled in IL, MA2 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

Specialty

Dermatology

Education

University of Massachusetts Medical School, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skincare Physicians IncGroup PAC ID 6800791450, 17 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: molly@dermchicago.emadirect.md

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.

• Skincare Physicians Inc

  • Dermatology Physician
  • Chestnut Hill, MA
  • NPI 1508893843
  Medicare reassignment Care Compare group NPD
• Medical Dermatology Associates of Chicago, LTD

  • Dermatology Physician
  • Chicago, IL
  • NPI 1801285929
  Medicare reassignment NPD
• Skincare Physicians St Elizabeths Inc

  • Dermatology Physician
  • Chestnut Hill, MA
  • NPI 1639499676
  NPD (past)
• Skincarephysicians

  • Dermatology Physician
  • Chestnut Hill, MA
  • NPI 1699005173
  NPD (past)

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1942730148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155400",
            "telephone_number": "617-667-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W. ERIE STREET",
            "address_2": "SUITE 350",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60654",
            "telephone_number": "312-995-1955",
            "fax_number": "312-995-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "MOLLY",
        "middle_name": "AMORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "125-071619",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "271913",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.156344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "STORER",
            "middle_name": "AMORY",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bryan Clifton Stout, PA-C
• David Paul Stout
• Jacob Stout, MD
• Jan Elman Stout, PSYD
• Marcia Stout, DNP, APN, FNP-C
• Kevin Stouwie, MSN, APRN, PMHNP-BC
• Alicia Ann Stovell, M.D
• Anna Stover, MOT, OTR/L
• Benjamin Alexander Stover, M.A., LCPC
• Daniel Stover, MD

• Dermatology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.