MEDICARE: MARTY D STOUT

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	1744P3200X	Prosthetics Case Management	431151	MD

General Provider Information

NPI Number	:	1821592080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTY D STOUT

Provider Business Mailing Address
First Line	:	1620 17TH PL SE APT 4
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-5548
Country	:	US
Telephone Number	:	202-491-6819
Fax Number	:

Provider Business Practice Location Address
First Line	:	2243 OXON HILL DR
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20020
Country	:	US
Telephone Number	:	202-491-6819
Fax Number	:

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

Provider Enumeration Date	:	03/22/2018
Last Update Date	:	03/22/2018

Similar Medicare Providers

1699024117 — KRISTAL HALL HAIR LOSS SPECIALIST
Practice Location Address:

4410 STAMP RD STE 105
TEMPLE HILLS, MD
20748-6700

Practice Phone: 301-316-4526
Practice Fax:

1912410457 — MR. CLAUDE ANTHONY TOMPKINS LICENSED HAIR STYLIS
Practice Location Address:

4620 SAINT BARNABAS RD STE A
TEMPLE HILLS, MD
20748-1914

Practice Phone: 240-413-1367
Practice Fax:

1558849034 — GREGORY MAURICE BAZEMORE
Practice Location Address:

3504 LESLIE AVE
TEMPLE HILLS, MD
20748-4634

Practice Phone: 703-955-2567
Practice Fax:

1164288171 — TIYONNA HUNT
Practice Location Address:

3208 CURTIS DR APT 701
TEMPLE HILLS, MD
20748-1268

Practice Phone: 202-904-1755
Practice Fax:

1285702688 — MS. SHARON C SMITH CRNP
Practice Location Address:

6104 OLD BRANCH AVE , KAISER PERMANENTE CAMP SPRINGS MEDICAL CENTER
TEMPLE HILLS, MD
20748-2518

Practice Phone: 301-702-6100
Practice Fax: 301-702-6292

1902089584 — LORETTA GALLO-LOPEZ
Practice Location Address:

304 DRUID HILLS RD
TEMPLE TERRACE, FL
33617-4127

Practice Phone: 813-355-7684
Practice Fax: 813-443-5630

Directions to “ MARTY D STOUT ” 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.