Sean Stack in Salem - Vascular & Interventional Radiology
Sean Stack - NPI 1962453217
Sean Stack is a Vascular & Interventional Radiology in Salem, Oregon. Sean Stack practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Sean Stack is 1962453217. The last update date is 2023-11-22.
Sean Stack's current location address is 2925 Ryan Dr Se, Salem, Oregon. You can contact this provider via phone number 5033991264 and fax number 5033710777. The mailing address for Sean Stack is 2925 Ryan Dr Se, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sean Stack |
|---|---|
| Address | 2925 Ryan Dr Se, Salem, Oregon |
| Phone Number | 5033991264 |
| Fax Number | 5033710777 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1962453217 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2023-11-22 |
Provider Mailing Address Detail
| Address | 2925 Ryan Dr Se |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973019687 |
| Phone Number | 5033991264 |
| Fax Number | 5033710777 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | MD20801 |
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Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 288438 | OR | -- |
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What is the unique 10-digit identifier code issued to Sean Stack by the Centers for Medicare & Medicaid Services?
The Sean Stack has been assigned the NPI (National Provider Identifier) 1962453217 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Sean Stack's physical address?
The Sean Stack is physically located at 2925 Ryan Dr Se, in the city of Salem, OR, with the postal code 973019687.
What is Sean Stack's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sean Stack is Vascular & Interventional Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0204X.
On what date did Sean Stack receive its 1962453217 assignment from the Centers for Medicare & Medicaid Services?
The Sean Stack was assigned its 1962453217 on 2006-05-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Sean Stack most recently updated?
The details pertaining to the Sean Stack, including its address, specialty, and other relevant information, were last refreshed on 2023-11-22.