Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charles William Stout, MD

Individual provider Clinical Cardiac Electrophysiology Physician · NPI 1497756597

Dr. Charles William Stout, MD is a Cardiac Electrophysiology in Pueblo, Colorado. Graduated from Hahnemann University College of Medicine in 1998, 28 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Arizona and Colorado.

Years since qualifying
28
Trained at
Hahnemann University College of Medicine
Licensed in
AZ, CO
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3670 Parker Blvd Ste 101
Pueblo, CO 81008-2285
Phone: (719) 564-1544
Fax: (719) 924-1593
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 48744 (CO)
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X · Licence 33411 (AZ)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 33411 (AZ)

Record details

NPI number1497756597
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2005
Last updated in NPPESFebruary 28, 2017
Mailing address3670 Parker Blvd, Suite 101, Pueblo, CO 81008-2285

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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