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

Sean Craig Stout, MD

Individual provider Pediatrics Physician · NPI 1417488131

Sean Craig Stout, MD is an Allergy/Immunology in Boise, Idaho. Graduated from University of Texas Medical Branch at Galveston in 2017, 9 years ago. Practices with Boise Valley Asthma and Allergy PA, a 7-clinician group and accepts Medicare assignment. Licensed in Idaho and Missouri.

Years since qualifying
9
Trained at
University of Texas Medical Branch at Galveston
Licensed in
ID, MO
In the registry since
2017
Specialties on file
4
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

901 N Curtis Rd Ste 100
Boise, ID 83706-1339
Phone: (208) 378-0080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence M-16211 (ID)
Pediatrics Physician Taxonomy 208000000X · Licence 2017021058 (MO)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence 2020009905 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417488131
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 23, 2017
Last updated in NPPESMarch 27, 2023
Certification dateMarch 27, 2023

Medicare enrollment

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

Medicare specialtyALLERGY/IMMUNOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated 2017 (9 years in practice)
Group practice Boise Valley Asthma And Allergy Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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