REBECCA STACK (NPI# 1164955746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164955746 |
| Entity Type | Individual |
| Full Name | REBECCA STACK |
| Other Name | REBECCA COYNE |
| Practice Address |
113 W Main St Cary IL 60013-2718 |
| Mailing Address |
1721 E 19th Ave Ste 520 Denver CO 80218-1243 |
| Practice Telephone | 8476395800 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016005891 | IL | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992224091 | Rebecca Stack | Physical Therapist | 416 Commons Dr, Parkesburg, PA 19365-2156 | 2017-09-11 |
| Street Address |
113 W MAIN ST |
| City | CARY |
| State | IL |
| Zip Code | 60013-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851702302 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 113 W Main St, Cary, IL 60013-2718 | 2014-05-17 |
| 1235577727 | Peter Lovato | Podiatrist | 113 W Main St, Cary, IL 60013-2718 | 2013-06-06 |
| 1700092475 | James Massaro Dpm, Ltd | Podiatrist | 113 W Main St, Cary, IL 60013-2718 | 2007-05-16 |
| 1053527747 | Massaro Surgical, Ltd | Clinic/Center | 113 W Main St, Cary, IL 60013-2718 | 2007-05-16 |
| 1174613319 | Patrick Allen Mceneaney | Podiatrist | 113 W Main St, Cary, IL 60013-2718 | 2006-10-16 |
| 1124072459 | James C Massaro | Podiatrist | 113 W Main St, Cary, IL 60013-2718 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134279789 | Brett Barber Dds PC | Dentist | 2615 Three Oaks Rd., Suite 2-d, Cary, IL 60013 | 2007-01-12 |
| 1881770733 | Gilbert Gulbrandson | Orthotist | 2615 Three Oaks Rd, Suite 2b, Cary, IL 60013 | 2006-10-31 |
| 1235222340 | Johnson Eye Care Inc | Optometrist | 855 Feinberg Ct, Ste 110, Cary, IL 60013 | 2006-10-02 |
| 1346333804 | Mary J Jago Krueger | Counselor | 204 Spring Street #27, Cary, IL 60013 | 2006-10-02 |
| 1750300349 | Christine Anne Hughes | Specialist/Technologist | 2615 Three Oaks Road, Suite 1a, Cary, IL 60013 | 2006-07-18 |
| 1104872878 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 696 Northwest Hwy, Cary, IL 60013 | 2006-05-25 |
| 1073091815 | Evan R Corsolini | Physical Therapist | 732 Northwest Hwy, Cary, IL 60013 | 2018-08-03 |
| 1518104512 | Kristi A Van Ham | Physical Therapist | 732 Northwest Hwy, Cary, IL 60013 | 2009-01-13 |
| 1396990693 | Cornerstone Counseling | Counselor | 2615 Three Oaks Rd., Suite 2a, Cary, IL 60013 | 2008-12-01 |
| 1063567808 | Jeffrey Alan Johnson | Optometrist | 855 Feinberg Ct, Ste 110, Cary, IL 60013 | 2007-01-24 |
| Find all providers in zip 60013 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244168 | Unc Physicians Network Group Practices, LLC | Podiatrist | 1505 Sw Cary Pkwy Ste 200, Cary, NC 27511-6219 | 2019-09-18 |
| 1396016978 | Cary Foot and Ankle Specialists, P.a. | Podiatrist | 3731 Nw Cary Pkwy Ste 100, Cary, NC 27513-8436 | 2012-01-13 |
| 1104097575 | Jfootdoc & Associates Pllc | Podiatrist | 210 Lewiston Ct, Cary, NC 27513-6025 | 2008-03-13 |
| 1487751673 | Judith K. Hodgins | Podiatrist | 201 Turquoise Creek Dr, Cary, NC 27513-3498 | 2006-09-20 |
| 1417985763 | Michael L Tomey | Podiatrist | 3731 Nw Cary Pkwy, Suite 100, Cary, NC 27513-8436 | 2006-06-28 |
| 1184221756 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 1000 Crescent Grn Ste 102, Cary, NC 27518-8117 | 2020-10-06 |
| 1982210613 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 3731 Nw Cary Pkwy Ste 100, Cary, NC 27513-8436 | 2020-09-18 |
| 1487299947 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 103 Parkway Office Ct Ste 100, Cary, NC 27518-7429 | 2019-11-08 |
| 1851702302 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 113 W Main St, Cary, IL 60013-2718 | 2014-05-17 |
| 1235577727 | Peter Lovato | Podiatrist | 113 W Main St, Cary, IL 60013-2718 | 2013-06-06 |
| Find all providers in CARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.