PHILLIP STOUT MD NPI 1063457224

NPI Information

  • NPI: 1063457224
  • Provider Name: PHILLIP STOUT, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 18697 BAGLEY RD
    MIDDLEBURG HEIGHTS, OH
    ZIP 44130
  • Phone: (440) 816-8000

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NPI Details

Phillip Stout, MD is an emergency medicine in Middleburg Heights, OH. The provider is 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 physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Phillip Stout, MD NPI is 1063457224. 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:

18697 BAGLEY RD
MIDDLEBURG HEIGHTS, OH
ZIP 44130-417
Phone: (440) 816-8000

The enumeration date for this NPI number is 6/19/2006 and was last updated on 7/8/2007.

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
1207P00000XEmergency Medicine35042083SOHIOYes

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
1F09307MEDICARE UPINOHIO
2942460636344OTHEROHIOCARESOURCE
3ST4150571MEDICARE ID-TYPE UNSPECIFIEDOHIO
40378569MEDICAIDOHIO

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: 3/30/2025

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