Susan M Stack is a Pediatrics in Madison, Indiana. Susan M Stack practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan M Stack is 1588696314. The last update date is 2019-02-20.
Susan M 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 Susan M Stack is 1373 E Sr 62, Madison, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan M Stack |
|---|---|
| Address | 1373 E Sr 62, Madison, Indiana |
| Phone Number | 8128010300 |
| Fax Number | 8128010585 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1588696314 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2019-02-20 |
Provider Mailing Address Detail
| Address | 1373 E Sr 62 |
|---|---|
| City | Madison |
| State | Indiana (IN) |
| Post Code | 47250 |
| Phone Number | 8128010300 |
| Fax Number | 8128010585 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 1033162 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 410015P | IN | SIHO | |
| 42214 | IN | ANTHEM BCBS | |
| 100148860A | IN | -- | |
| 1082593 | KY | PASSPORT KY MEDICAID | |
| 4370872 | AETNA | ||
| 64759780 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Susan M Stack by the Centers for Medicare & Medicaid Services?
The Susan M Stack has been issued the NPI (National Provider Identifier) 1588696314 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Susan M Stack?
The Susan M Stack is situated at 1373 E Sr 62, in the city of Madison, state of IN, with the zip code 47250.
What is Susan M Stack's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan M Stack is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
On what date did the Susan M Stack receive the assignment of its 1588696314 from the Centers for Medicare & Medicaid Services?
The Susan M Stack was issued its 1588696314 by the Centers for Medicare & Medicaid Services on 2006-07-06.
When was the information pertaining to Susan M Stack most recently updated or revised?
The details related to Susan M Stack, including its address, specialty, and other relevant information, were last updated or revised on 2019-02-20.
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