# RODNEY B. STOUT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1184668253
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 18824 | WV | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 35-06-8415 | OH | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 12/29/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000007375 | ANTHEM BCBS | — |
| 01 | — | 000000185216 | UNISON MEDICAID \# | OH |
| 01 | — | 001714085 | MOUNTAIN STATE BCBS | — |
| 05 | — | 0087542000 | — | WV |
| 01 | — | 0157744 | MOLINA MEDICAID \# | OH |
| 05 | — | 0157744 | — | OH |
| 01 | — | 310917085115 | CARESOURCE MEDICAID \# | OH |
| 01 | — | 460001103 | RR MEDICARE | OH |