Provider Demographics
NPI:1073568358
Name:STOUTER, BARBARA S (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:S
Last Name:STOUTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:SAFEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:515 ABBOTT RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-1700
Mailing Address - Country:US
Mailing Address - Phone:716-995-8801
Mailing Address - Fax:716-995-8810
Practice Address - Street 1:515 ABBOTT RD
Practice Address - Street 2:SUITE 304
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-1700
Practice Address - Country:US
Practice Address - Phone:716-995-8801
Practice Address - Fax:716-995-8810
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY183576208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1205912OtherIHA LEGACY#
NY139305-7WOtherWORKERS COMP LEGACY#
NY8494418Medicaid
NY040426003018OtherFIDELIS LEGACY#
NY159921DLOtherPREFERRED CARE LEGACY#
NY000523215006OtherHEALTH NOW BCBS LEGACY#
NY000000082563OtherGHI HMO LEGACY#
NY00010154302OtherUNIVERA LEGACY#
NY006957Medicare ID - Type Unspecified
NY8494418Medicaid