Provider Demographics
NPI:1568417871
Name:HOUGH, STUART W (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:W
Last Name:HOUGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9110 TRAVENER CIR
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21704-7823
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15200 SHADY GROVE RD
Practice Address - Street 2:302
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3218
Practice Address - Country:US
Practice Address - Phone:240-453-9182
Practice Address - Fax:240-453-9189
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD56796207L00000X
MDD0056796208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
601285800OtherFECA
MD820703800Medicaid
MD154190ZDW8Medicare PIN
G45834Medicare UPIN
DC013376P62Medicare PIN
MD839M484FMedicare ID - Type UnspecifiedGROUP 839M
MD154190ZDW8Medicare PIN