Derek Stout is a Emergency Medicine in Mattoon, Illinois. Derek Stout practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Derek Stout is 1548376213. The last update date is 2019-01-08.
Derek Stout's current location address is 1000 Health Center Dr, Mattoon, Illinois. You can contact this provider via phone number 2172582551 and fax number 2172582256. The mailing address for Derek Stout is 1000 Health Center Dr, Mattoon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Stout |
|---|---|
| Address | 1000 Health Center Dr, Mattoon, Illinois |
| Phone Number | 2172582551 |
| Fax Number | 2172582256 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1548376213 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2019-01-08 |
Provider Mailing Address Detail
| Address | 1000 Health Center Dr |
|---|---|
| City | Mattoon |
| State | Illinois (IL) |
| Post Code | 619389261 |
| Phone Number | 2172582551 |
| Fax Number | 2172582256 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 036-107399 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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What is the Derek Stout's unique identification number?
The Derek Stout has been assigned the NPI (National Provider Identifier) Number 1548376213 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Derek Stout is located?
The Derek Stout is situated at the following address: 1000 Health Center Dr, Mattoon, IL, 619389261.
What is Derek Stout's specialized field of practice, and what is the corresponding taxonomy classification code?
The Derek Stout's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1548376213 to Derek Stout?
The Centers for Medicare & Medicaid Services originally issued the 1548376213 to Derek Stout on 2006-08-22.
As of what date were the Derek Stout's details last updated?
The information pertaining to the Derek Stout, including its address, specialty, and other details, was most recently updated on 2019-01-08.
NPI Number: 1578569273
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