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Michael B. Stout, CRNA
Certified Registered Nurse Anesthetist in Gallipolis, Ohio
NPI 1306866017

Michael B. Stout is a Certified Registered Nurse Anesthetist based in Gallipolis, OH. Michael B. Stout practices in Gallipolis, OH and has the professional credentials of CRNA. The NPI Number for Michael B. Stout is 1306866017 and holds a License No. 159038 (Ohio).

The current practice location address for Michael B. Stout is 100 Jackson Pike, Gallipolis, OH and can be reached out via phone at 740-446-5227 and via fax at 740-441-8058. You can also correspond with Michael B. Stout through the mailing address at 90 JACKSON PIKE, GALLIPOLIS, OH - 45631-1560 (mailing address contact number: 740-446-5227).

Location: 100 Jackson Pike, Gallipolis, OH, 45631-1560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306866017
Provider Name
Michael B. Stout
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
100 Jackson Pike, Gallipolis, OH, 45631-1560
Phone Number
740-446-5227
Fax Number
740-441-8058
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000006844 01 ANTHEM BCBS
001714074 01 MOUNTAIN STATE BCBS
0867245 05 OH
430028926 01 OH RR MEDICARE
0067558000 05 WV
0867245 01 OH MOLINA MEDICAID #
000000204808 01 OH OH MEDICAID UNISON
institution
Provider Business Practice Location Address Details
Address
100 Jackson Pike
City
Gallipolis
State
Ohio
Zip
45631-1560
Phone Number
740-446-5227
Fax Number
740-441-8058
person
Provider Business Mailing Address Details
Address
100 Jackson Pike
City
Gallipolis
State
Ohio
Zip
45631-1560
Phone Number
740-446-5227
Fax Number
740-441-8058
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
159038 (Ohio)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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