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

Evan Thomas Stout

Individual provider Physician Assistant · NPI 1639954142

Evan Thomas Stout is a Physician Assistant in Golden, Colorado. Qualified in 2023, 3 years ago. Practices with Destiny Urgent Cares of Colorado LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
In the registry since
2023
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Practice location Address checks out

13907 W 22nd Ave
Golden, CO 80401-6820
Phone: (302) 690-8855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1639954142
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 31, 2023
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024
Mailing address13907 W 22nd Ave, Golden, CO 80401-6820

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Destiny Urgent Cares Of Colorado Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations12 on file with Medicare

Other providers in Golden