MICHAEL LEE STACK (NPI# 1316943301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316943301 |
Entity Type | Individual |
Full Name | MICHAEL LEE STACK |
Credential | M.D. |
Practice Address |
3265 W Sarazens Cir Ste 101 Memphis TN 38125-0806 |
Practice Telephone | 9015126086 |
Practice Fax Number | 8662307816 |
Mailing Telephone | 9015126086 |
Mailing Fax Number | 8662307816 |
Enumeration Date | 2005-06-23 |
Last Update Date | 2019-12-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 28719 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RAILROAD MEDICARE | P00475770 | 01 | |
TN | 3840616 | 05 | |
TN | BCBS | 4347596 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
3249 W Sarazens Cir, Memphis, TN 381250807 | 9017565565 | 9017565564 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932146685 | Michael Andrew Stack | Family Medicine | 121 N Pine River St, Ithaca, MI 48847-1039 | 2006-06-01 |
1770585945 | Michael T Stack | Specialist | 2845 Greenbrier Rd, Green Bay, WI 54311 | 2005-06-01 |
Street Address |
3265 W SARAZENS CIR STE 101 |
City | MEMPHIS |
State | TN |
Zip Code | 38125-0806 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689917759 | Bluff City Obstetrics and Gynecology | Obstetrics & Gynecology | 3265 W Sarazens Cir Ste 101, Memphis, TN 38125-0806 | 2013-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
Find all providers in zip 38125 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043860448 | 901 Health, Pllc | Obstetrics & Gynecology | 3068 Covington Pike Ste 3, Memphis, TN 38128-5001 | 2019-09-17 |
1669860557 | Midsouth Healthcare Management | Obstetrics & Gynecology | 3249 W Sarazens Cir, Memphis, TN 38125-0807 | 2014-12-31 |
1104269745 | Abigail Y. Talbot | Obstetrics & Gynecology | 6215 Humphreys Blvd Ste 500, Memphis, TN 38120-2384 | 2013-04-13 |
1972863165 | Robin Morehead Taylor | Obstetrics & Gynecology | 6215 Humphreys Blvd Ste 100, Memphis, TN 38120-2382 | 2012-05-21 |
1417121013 | Dominique M Butawan-ali | Obstetrics & Gynecology | 6215 Humphreys Blvd., Ste 100, Memphis, TN 38120 | 2008-04-15 |
1972782670 | Ob Gyn Centers of Memphis,mpllc | Obstetrics & Gynecology | 1264 Wesley Dr Ste 402, Memphis, TN 38116-6447 | 2007-10-30 |
1699963249 | Stephen Eguabor Ehiremen | Obstetrics & Gynecology | 2900 Kirby Rd Ste 11, Memphis, TN 38119 | 2007-10-09 |
1902013238 | Carlos Zavala | Obstetrics & Gynecology | 1850 Poplar Crest Cv, Suite 105, Memphis, TN 38119-4877 | 2007-05-17 |
1578775359 | Laura B Haskins | Obstetrics & Gynecology | 6005 Park Ave Ste 430b, Memphis, TN 38119-5211 | 2007-05-04 |
1598892325 | Memphis Midsouth Obgyn Alliance P.C. | Obstetrics & Gynecology | 6215 Humprehys Blvd, Suite 400, Memphis, TN 38120 | 2007-02-28 |
Find all providers in MEMPHIS |
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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.