Patrick W Stack is a Pediatrics in Madison, Indiana. Patrick W Stack practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Patrick W Stack is 1710918891. The last update date is 2019-02-20.
Patrick W Stack's current location address is 1373 E Sr 62, Madison, Indiana. You can contact this provider via phone number 8128010300 and fax number 8128010585. The mailing address for Patrick W Stack is 1373 E Sr 62, Madison, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Patrick W Stack |
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Address | 1373 E Sr 62, Madison, Indiana |
Phone Number | 8128010300 |
Fax Number | 8128010585 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1710918891 |
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Provider Enumeration Date | 2006-07-06 |
Last Updated Date | 2019-02-20 |
Provider Mailing Address Detail
Address | 1373 E Sr 62 |
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City | Madison |
State | Indiana (IN) |
Post Code | 47250 |
Phone Number | 8128010300 |
Fax Number | 8128010585 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 208000000X |
Licence No | 1033161 |
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
412626P | IN | SIHO | |
4370916 | AETNA | ||
42211 | IN | ANTHEM BCBS | |
1082594 | KY | PASSPORT KY MEDICAID | |
100148850A | IN | -- | |
64759798 | KY | -- | |
2435578000 | KY | PASSPORT ADVANTAGE |
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What is the unique 10-digit identification code issued to Patrick W Stack by the Centers for Medicare & Medicaid Services?
The Patrick W Stack has been assigned the NPI (National Provider Identifier) 1710918891 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Patrick W Stack?
The Patrick W Stack is physically situated at 1373 E Sr 62, in the city of Madison, state of IN, with the postal code 47250.
What is Patrick W Stack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Patrick W Stack is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.
When did the Patrick W Stack receive its 1710918891?
The Patrick W Stack was issued its 1710918891 on 2006-07-06, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Patrick W Stack most recently updated or revised?
The details related to Patrick W Stack, including its address, specialty, and other relevant information, were last updated or revised on 2019-02-20.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH