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Mark J Stout

Transplant Surgeon Cardiothoracic Vascular Surgeon

725 American Ave
Waukesha , Wisconsin 53188-5031

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Mark J Stout

Transplant Surgeon Cardiothoracic Vascular Surgeon

725 American Ave
Waukesha , Wisconsin 53188-5031

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Transplant Surgeon
  • Cardiothoracic Vascular Surgeon

Languages spoken

  • English

Location

725 American Ave Waukesha , Wisconsin 53188-5031

First Address

  • Mark J Stout
  • 725 American Ave
  • Waukesha, WI
  • Zip : 53188-5031
  • Phone :

Second Address

  • Mark J Stout
  • 725 American Ave
  • Waukesha, WI
  • Zip : 53188-5031
  • Phone : (608) 263-1530

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FAQs


Where did Mark J Stout attend graduate school?

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Where did Mark J Stout do his residency?

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Where did Mark J Stout do his fellowship?

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Is Mark J Stout board certified?

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What type of doctor is Mark J Stout

Transplant Surgeon

In what state does Mark J Stout practice in?

Wisconsin

Where is Mark J Stout ’s practice located?

725 American Ave , Waukesha, Wisconsin, 53188-5031

What is Mark J Stout ’s gender?

Male

Is Mark J Stout a sole practitioner?

No

Is Mark J Stout accepting new patients?

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What languages does Mark J Stout speak?

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Does Mark J Stout accept insurance?

Yes, Mark J Stout accepts insurance

Does Mark J Stout offers telemedicine?

Mark J Stout has not indicated if he offers telemedicine

What is Mark J Stout ’s professional license number?

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What is Mark J Stout ’s NPI number?

1851386551

Does Mark J Stout have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 204F00000X Transplant Surgeon 62383 WI
N 208G00000X Cardiothoracic Vascular Surgeon 01069517A IN
N 208G00000X Cardiothoracic Vascular Surgeon 036080105 IL
N 208G00000X Cardiothoracic Vascular Surgeon 62383 WI

National Provider Identifier

NPI 1851386551
Provider Name Mark J Stout
First Address Waukesha, WI 53188-5031
Second Address Waukesha, WI 53188-5031
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 19/09/2005
Last Update Date 03/05/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
000001005823 ANTHEM PROVIDER NUMBER FOR TIN 35-2030653 (01) IN
01605360 BCBS PROVIDER ID (01) IL
036080105 (05) IL
201019900 (05) IN
780000280 RAILROAD MEDICARE (01) IL
F28512 (02) IL
P01027332 RAILROAD MEDICARE (01) IN

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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