Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK STOUT, D.O.
ActiveDEREK STOUT, D.O. is a Emergency Medicine healthcare provider located in MATTOON, Illinois. NPI 1548376213 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · MATTOON, IL
Registration Details
- NPI Number
- 1548376213
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2006 (19.995300395184 yrs)
- Last Updated
- Jan 8, 2019
- Licenses
-
036-107399 (IL)036-107399 (IL)
Practice Information
- Address
-
1000 HEALTH CENTER DRMATTOON, IL, 619389261Browse IL providers · Browse ZIP 61938
- Phone
- 2172582551
- Fax
- 2172582256
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in MATTOON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN CARL VENTURA | MD | 1881665966 |
| DR. GEORGE R GRANT | MD | 1376565788 |
| JOHN CALTRY | D.O. | 1700992179 |
| SHANE CLINE | M.D. | 1366558769 |
| JOSEPH BURTON | D.O. | 1023124484 |
| DANIEL BOMMELJE | D.O. | 1245346691 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.