MEDICARE: DR. RANDALL C STOUT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	RS045322	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	RS048655	OTHER	MI	LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0831634	OTHER	MI	PHP

General Provider Information

NPI Number	:	1295890317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANDALL C STOUT MD

Provider Business Mailing Address
First Line	:	3600 CAPITAL AVE SW
Second Line	:	STE 203
City	:	BATTLE CREEK
State	:	MI
Zip	:	49015-9393
Country	:	US
Telephone Number	:	269-979-6383
Fax Number	:	269-979-6381

Provider Business Practice Location Address
First Line	:	3600 CAPITAL AVE SW
Second Line	:	STE 203
City	:	BATTLE CREEK
State	:	MI
Zip	:	49015-9393
Country	:	US
Telephone Number	:	269-979-6383
Fax Number	:	269-979-6381

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	07/09/2007

Similar Medicare Providers

1962338467 — OATES FAMILY CHIROPRACTIC LLC
Practice Location Address:

3600 CAPITAL AVE SW STE 202
BATTLE CREEK, MI
49015-9393

Practice Phone: 269-205-4660
Practice Fax: 269-360-4864

1649278516 — RAAKESH C BHAN M.D.
Practice Location Address:

3600 CAPITAL AVE SW STE 205
BATTLE CREEK, MI
49015-9393

Practice Phone: 269-441-1000
Practice Fax: 269-441-1002

1306802657 — DR. WILLIAM A SCALF MD
Practice Location Address:

3600 CAPITAL AVE SW , SUITE 204
BATTLE CREEK, MI
49015-9393

Practice Phone: 269-979-6444
Practice Fax: 269-979-6450

1467401745 — DR. JOHN GERARD BIZON M.D.
Practice Location Address:

3600 CAPITAL AVE SW , STE 204
BATTLE CREEK, MI
49015-9393

Practice Phone: 269-979-6444
Practice Fax: 269-979-6450

1619981891 — NEW DAY FAMILY MEDICINE & MEDICAL SPA, P.C.
Practice Location Address:

3600 CAPITAL AVE SW , SUITE 201
BATTLE CREEK, MI
49015-9393

Practice Phone: 269-979-5100
Practice Fax: 269-979-5480

1124125331 — AMBULATORY SURGERY ASSOCIATES, LLC
Practice Location Address:

3600 CAPITAL AVE SW , SUITE 101
BATTLE CREEK, MI
49015-9393

Practice Phone: 269-979-2490
Practice Fax: 269-979-2690

Directions to “ DR. RANDALL C STOUT MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.