Active NPI
David R Stout, MD
- Family Medicine Physician
- Seymour, IN
National Provider Identifier
1962487009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01027578
- Practice address
- 225 S Pine St
Suite 200
Seymour, IN 47274-2365 - Phone
- (812) 524-3333
- Fax
- (812) 524-3334
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01027578 | IN | Primary |
Addresses
Primary practice location
225 S Pine St
Suite 200
Seymour, IN 47274-2365
Mailing address
225 S Pine St
Suite 200
Seymour, IN 47274-2365
Phone (812) 524-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000092363 | Other | IN | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01027578 | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962487009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S PINE ST",
"address_2": "SUITE 200",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742365",
"telephone_number": "812-524-3333",
"fax_number": "812-524-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 S PINE ST",
"address_2": "SUITE 200",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742365",
"telephone_number": "812-524-3333",
"fax_number": "812-524-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01027578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000092363",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seymour, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.