DR. EDWARD MICHAEL OUTLAW MD NPI 1891792743

NPI Information

NPI: 1891792743
Provider Name: DR. EDWARD MICHAEL OUTLAW, MD
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Individual

Specialization: Pain Medicine

Address:
4505 PRECISSI LN STE A
STOCKTON, CA
ZIP 95207
Phone: (209) 425-3815
Get Directions

DR. Edward Michael Outlaw, MD is a pain medicine physical medicine rehabilitation in Stockton, CA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. DR. Edward Michael Outlaw, MD NPI is 1891792743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4505 PRECISSI LN STE A
STOCKTON, CA
ZIP 95207-240
Phone: (209) 425-3815

The enumeration date for this NPI number is 7/7/2005 and was last updated on 6/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208VP0014X	Pain Medicine	Interventional Pain Medicine	10630	NEVADA	No
2	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	10630	NEVADA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100500786	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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