| Kristen Stout, | |
|
1740 Cleveland Rd, Wooster, OH 44691-2204 | |
| (330) 287-4500 | |
| Not Available |
| Full Name | Kristen Stout |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1740 Cleveland Rd, Wooster, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184100372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50.005596 (Ohio) | Primary |
| Entity Name | Wooster Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Stout, 9500 Euclid Ave, Cleveland, OH 44195-0001 Ph: Not Available | Kristen Stout, 1740 Cleveland Rd, Wooster, OH 44691-2204 Ph: (330) 287-4500 |
Thomas Benedict Janas, P.A. - C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3373 Commerce Pkwy, Suite 2, Wooster, OH 44691 Phone: 330-804-9712 Fax: 330-804-9717 |
Michelle M Mcconnell, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1761 Beall Ave, Suite 3a, Wooster, OH 44691 Phone: 330-202-5700 Fax: 330-202-5701 |
Brittney Hawkins, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3373 Commerce Pkwy Ste 2, Wooster, OH 44691 Phone: 330-804-9712 Fax: 330-804-9811 |
Mrs. Amanda Kaye Griffith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 128 E Milltown Rd Ste 101, Wooster, OH 44691 Phone: 330-287-2595 |
James A Karol, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 721 E Milltown Rd, Wooster, OH 44691 Phone: 330-287-4600 |
Raymond Eshenaur, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3373 Commerce Pkwy, 2, Wooster, OH 44691 Phone: 330-804-9712 Fax: 330-804-9717 |
Lauren Parsons, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1740 Cleveland Rd, Wooster, OH 44691 Phone: 330-287-4500 Fax: 330-287-4802 |